As a Component of a Head to Toe Assessment, the Nurse

question 26

Multiple Choice

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.