When Assessing the Pupillary Light Reflex, the Nurse Will

question 31

Multiple Choice

When assessing the pupillary light reflex, the nurse will:

• A)Shine a penlight from directly in front of the patient, and inspect for pupillary constriction.
• B)Ask the patient to follow the penlight in eight directions, and observe for bilateral pupil constriction.
• C)Shine a light across the pupil from the side, and observe for direct and consensual pupillary constriction.
• D)Ask the patient to focus on a distant object and then to follow the penlight to approximately 7 cm from the nose.

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Definitions:

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