The nurse is assessing a client's visual fields by confrontation. Which of the following nursing actions indicates that the nurse requires further education regarding this test?
1. The nurse asks the client to cover one of her eyes with a card.
2. The nurse uses a penlight to assist with performing the test.
3. The nurse asks the client to sit 20 feet away.
4. The client tells the nurse when she first sees the object.
3
Rationale 1: Confrontation to test visual fields is done by asking the client to cover one eye with a cover while the nurse covers the eye opposite to the client.
Rationale 2: The nurse and client sit 2–3 feet away from each other, at eye level. An object such as a pen or penlight is advanced from the periphery to the midline. Both the client and the nurse should be able to see the object at the same time.
Rationale 3: The nurse and client should sit only 2–3 feet away from each other.
Rationale 4: The client should tell the nurse when she first sees the object in her peripheral vision.
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