To examine for accommodation, you would first instruct the patient to look at a distant object for 30 seconds and then note the size and reaction of the pupils when you

a. ask the patient to close the eyes for 10 seconds and then look at you.
b. ask the patient to look at an object about 10 cm away.
c. shine a penlight into the patient's eyes.
d. cover first one eye and then the other.


B
Accommodation is tested by asking the patient to focus on a distant object for 30 seconds, which dilates the pupils. Then have the person shift the gaze to a near object such as your finger held about 10 cm from the nose. A normal response includes pupillary constriction and convergence of the axes of the eyes. Accommodation occurs when the pupils constrict and converge to focus on objects at close range; therefore, having the patient look at an object 10 cm away would examine for this.

Nursing

You might also like to view...

Mr. and Mrs. E are admitted to the ICU with carbon monoxide poisoning due to a faulty wood stove. The hospital does not have access to a hyperbaric chamber. Therefore, treatment is limited to

A) fresh air. B) 100% oxygen. C) mechanical ventilation with PEEP. D) activated charcoal.

Nursing

The home health nurse is visiting a client who is treating a chronic wound. The nurse assesses that the client only performs daily wound care twice a week owing to cost. Which statement by the nurse best addresses this issue?

a. "You can use tap water instead of sterile saline to clean your wound." b. "If you don't clean the wound properly, you could end up in the hospital." c. "Sterile procedure is necessary to keep this wound from getting bigger." d. "The only thing that really matters is good handwashing with wound care."

Nursing

You are preparing community program objectives that are specific, measurable, achievable, relevant, and time bound

Using your knowledge of objectives, program objectives are written in the SMART format to help in planning interventions and establishing measurement systems to evaluate programs and outcomes. What is an example of a measurement objective? A) The program will reduce teenage obesity. B) Fewer teens will start smoking. C) Blood pressure for children aged 12 to 18 in Marks School will be reduced by 5% after petting the dog for 1 day in March 2011. D) The number of older minority residents in Legacy Independent facility receiving a flu shot will triple.

Nursing

A patient with a longstanding diagnosis of schizophrenia has been admitted to a psychiatric-mental health facility. The patient's symptoms have escalated and he is angry, defensive, and paranoid. Which of the following is the nurse's highest priority?

A) Ensuring client and personal safety B) Determining the source of the client's anger and paranoia C) Ensuring the client that medication will correct his problems D) Determining the client's willingness to be admitted

Nursing