The nurse assesses the patient's accommodation by (select all that apply):
1. holding his or her finger approximately 20 inches in front of the patient's eyes.
2. observing for pupillary constriction.
3. assessing for convergence.
4. noting blinking.
5. moving his or her finger slowly toward the patient's nose.
1, 2, 4, 5
Assessment for blinking is not part of the accommodation assessment. All the others are part of the accommodation assessment. The nurse holds his or her finger approximately 20 inches in front of the patient's eyes, slowly moved the finger toward the patient's nose, assessing for pupillary constriction and convergence.
PTS: 1 DIF: Cognitive Level: Application REF: 1161
OBJ: 2 TOP: Testing for Accommodation
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance
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