The practical nurse (PN) determines that a client's pupils constrict as they change focus from a far object to a near object. How should the PN document this finding?

A. Consensual pupillary constriction present: Consensual response refers to both pupils constricting simultaneously when light is shone in one eye. This finding assesses cranial nerves II and III but does not describe the pupillary adjustment to near and far focus. B. Peripheral vision intact: Peripheral vision tests the client’s ability to detect objects in the visual fields and is unrelated to pupillary movement or accommodation. It does not involve observing pupil constriction during focus changes. C. Nystagmus present with pupillary focus: Nystagmus involves involuntary, rhythmic eye movements typically associated with vestibular or neurological disorders. It does not describe normal pupillary constriction when shifting focus between distances. D. Pupils reactive to accommodation: When pupils constrict as the eyes focus from a distant to a near object, it indicates a normal accommodation response. This finding reflects proper functioning of cranial nerve III and normal ocular motor coordination.