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    HESI Health Assessment WGU d344 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. The term PERLA (Pupils Equal, Round, React to Light and Accommodation) is often used, but the assessment described does not include the accommodation response, so it would not be accurate to document it as PERLA. B. PERRL (Pupils Equal, Round, React to Light) is the correct notation, as it accurately reflects the findings described: pupils that are equal, round, and respond to light. C. Documenting "Neurological status intact" is too vague and does not specifically address the pupil assessment. D. The Glasgow Coma Scale (GCS) of 15 indicates a fully alert and oriented client but does not directly document the specific findings related to pupil assessment.

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