The nurse is completing a corneal light reflex test using a penlight. Which result would indicate a normal test result?
A) The pupils have reaction to light.
B) The eyes follow the light in all four directions.
C) The client can see the light using peripheral vision.
D) The light reflection is in the same spot on each eye.
D
Feedback:
A normal corneal light reflex test is when the light reflex is even, reflecting the light at the same spot on both eyes. If the light reflex is uneven, it indicates deviated alignment of the eyes, possibly due to muscle weakness or paralysis.
You might also like to view...
Which is a nitrate compound that is used therapeutically to relieve acute attacks of angina?
a. Quinidine sulfate b. Nitroglycerin c. Digitalis d. Minoxidil
An older patient is concerned about remembering to take prescribed medications. What strategies should the nurse recommend to this patient? Select all that apply.
1. Rely on habit to take the medication. 2. Use an assistive device such as a pillbox. 3. Suggest a family member provide the medication. 4. Discuss moving to an assisted living facility for safety. 5. Discuss reducing the number of medications with the physician.
A 75-year-old patient is diagnosed with chronic venous insufficiency. What should the nurse instruct this patient?
1. Keep legs in a dependent position as much as possible. 2. Avoid the use of knee-high hose or girdles. 3. Limit ambulation. 4. Dangle legs over the side of the bed several times per day.
Which of the following actions by the nurse helps to prevent burnout?
a. Picking up extra shifts each week b. Staying late to help out at the end of each shift c. Scheduling a massage on a day off d. Teaching at the local community college one day a week