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    HESI RN HEALTH ASSESSMENT PROCTORED EXAM

    When performing a neurologic assessment on an alert client, the nurse observes that the client's pupils are both round, 3 mm in size, and respond briskly to light. Which notation should the nurse use when documenting the assessment?

    Explanation & Rationale

    A. Pupils equal, round, reacts to light (PERRL) This notation accurately reflects the observed findings. B. Pupils equal, round, reacts to light, and accommodation (PERLA) While it includes accommodation, there was no specific assessment of accommodation mentioned. C. Neurological status intact. This is too vague and does not provide specific details about the pupils. D. Glasgow Coma Scale (GCS) of 15. The GCS score indicates overall neurological function, not specific pupil findings.

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