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The nurse is assessing a patient's eyes for the accommodation response and would expect to see which normal finding?

A.

Constriction of the pupils

B.

Disconjugate movement of the eyes

C.

Consensual light reflex

D.

Dilation of the pupils

Answer and Explanation

The Correct Answer is A

A. Constriction of the pupils is the correct response. When testing for accommodation, the pupils constrict as the patient focuses on a near object, demonstrating normal accommodation.
B. Disconjugate movement of the eyes (where the eyes do not move together) is an abnormal finding. The eyes should move symmetrically and conjugately (together).
C. Consensual light reflex refers to the pupillary response to light in one eye causing a constriction in both eyes, but this is not part of the accommodation test.
D. Dilation of the pupils is the opposite of what should occur during accommodation. The pupils should constrict when focusing on a near object.


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Related Questions

Correct Answer is D

Explanation

A. Appreciating unique meanings refers to understanding the cultural or personal significance of the patient's health experience, which is important but not the primary behavior in this scenario.
B. Meeting affiliation needs involves providing support for social connections and relationships. While teaching the family could enhance their relationship with the patient, this is more about practical care.
C. Providing presence refers to being physically and emotionally present with the patient. While this is important in care, the scenario is about teaching specific skills for a practical need.
D. Meeting basic human needs is the most fitting answer because the nurse is providing the family with the tools and knowledge they need to assist with a physical care task, which directly addresses a basic need for the patient’s health and well-being.

Correct Answer is A

Explanation

A. 0054 in military time is 54 minutes past midnight, which is 12:54 AM in traditional time.
B. 0540 would be 5:40 AM, not 0054.
C. 1254 would represent 12:54 PM, not 0054.
D. 0004 is 12:04 AM, not 0054.

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