Question

On a health history, a client reports no visual disturbances, last eye exam being 2 years ago, and not wearing glasses. The nurse notices that the client squints when signing the consent for treatment form and holds the paper close to the face. What should the nurse do next?
a. document the findings in the client's record
b. perform both the distant and near visual acuity tests
c. test the pupils for direct and consensual reaction to light
d. obtain a referral to the ophthalmologist for a complete eye exam

Answer 1

Answer: b. perform both the distant and near visual acuity tests

Explanation:

The nurse should assess the visibility of the client by conducting the distant and near visual acuity tests to know the loss of near and far vision. This test will reveal the fact that whether the person is able to see the details of the letter or symbol from a specific distance. This judge the overall vision ability of a person. The color, peripheral vision, and perception can be determined by this test.