To assess a client's pupillary reaction to accommodation, which action should the nurse take?

A. Assessing pupil dilation in response to a darkened room evaluates the pupillary light reflex rather than accommodation. Accommodation involves focusing changes, not light response. B. The speed of pupil constriction when a penlight is shined into the eye assesses the pupillary light reflex, not accommodation. Accommodation focuses on how the pupils adjust to changes in focal distance. C. Comparing the shape of the pupils in normal room light assesses for symmetry and potential irregularities but does not evaluate the reaction to focusing on different distances. D. Observing the pupils’ response when focusing on a near object and then a far object assesses accommodation. The pupils should constrict when focusing on a near object and dilate when focusing on a far object, which indicates proper accommodation function.