The nurse is performing a focused interview and eye assessment on a client. Which assessment findings indicate the client's is experiencing a vision problem? Select all that apply
1. The client is frowning and squinting while she is reading the Snellen chart.
2. The client exhibits a symmetrical pupillary light reflex response.
3. As the nurse checks for accommodation, the pupils remain dilated.
4. The client's near vision acuity is 14/14 bilaterally.
5. When the cornea is lightly touched in the right eye, both eyelids close.
Correct Answer: 1, 3
If the client is frowning or squinting during the test of her ability to see distant objects, this is indicator that the client may be experiencing visual problems. When checking accommodation, the eyes should converge and the pupils should constrict as the eyes focus on the penlight. Symmetrical pupillary responses are normal. The normal result for near vision is 14/14 in each eye. When testing the corneal reflex, touch the eye gently and quickly with a wisp of cotton. The client will react by blinking both eyes. If one or both eyes fail to respond, there could be a problem.
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