The nurse is performing an eye assessment on a client. Which finding confirms normal accommodation during visual assessment?
a. Both pupils constrict when a light is shined at one eye.
b. The client blinks in response to a threat-ening movement.
c. Both pupils constrict when focusing on an object being moved in toward the nose.
d. The client is able to hold an upward gaze without moving the head for 15 seconds.
C
Normal accommodation is seen when the client's eyes converge. The pupils constrict when the client focuses on an object that is being moved from about 18 cm from the client's nose in closer toward the nose. Consensual response occurs when both pupils constrict after a light is shined at one eye. The blink reflex occurs in response to a sudden movement. Extraocular muscle function is tested when the client is asked to hold an upward gaze while keeping the head still.
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