How would a nurse assess a client for pupillary accommodation?

Question

Quizplus · Accepted Answer

Pupillary accommodation refers to the ability of the pupils to constrict and dilate in response to changes in the distance of an object being viewed. To assess for pupillary accommodation, the nurse can ask the client to focus on an object as it is brought closer to the nose. As the object gets closer, the pupils should constrict to maintain focus on the object. Using an ophthalmoscope to check the red reflex (A) is a test to assess for abnormalities in the retina or optic nerve. Asking the client to move their eyes through the six cardinal positions of gaze (B) is a test for extraocular muscle function. Asking the client to read the smallest possible line of letters on the Snellen chart (D) is a test for visual acuity. None of these tests assess for pupillary accommodation.

How Would a Nurse Assess a Client for Pupillary Accommodation