Wgu rn hesi health assessment proctored exam
While conducting a physical assessment, the nurse shines a pen light into a client's right eye and moves the light source to check the client's left eye. Which finding indicates the need for further evaluation?
Explanation & Rationale
A. Bilateral pupil size changes as the distance of the light source varies: This is a normal finding and reflects the pupil's reaction to light. B. The right pupil constricts and the left consensually responds: This is a normal finding, showing proper pupil response to light. C. The left iris is "notched" and the pupil size changes minimally: A notched iris and minimal pupil response can suggest a neurological issue and warrants further evaluation. D. Both pupils are equal in size and constrict readily to the light source: This is a normal finding, indicating proper function of the pupillary reflex.
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