As a component of a head to toe assessment, the nurse is preparing to assess convergence of the client's eyes. How should the nurse conduct this assessment?
A) Ask the client to follow her finger as she slowly moves it towards the client's nose.
B) Ask the client to look ahead while slowly bringing a pen light in from the side and to the client's pupil.
C) Ask the client to hold his head stationary while following a pencil from left to right.
D) Ask the client to read a Snellen chart from a distance of 20 feet.
Ans: A
Eye convergence is assessed by holding your finger 6" to 8" from the patient's nose and asking the patient to follow it as it moves closer. A pen light is used to assess pupillary reaction. Visual acuity is assessed with the use of a Snellen chart. Following a pencil from side to side is a test for extraocular movements.
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