Author Question: During an eye examination, the nurse requests that the client read letters located on the Snellen E ... (Read 37 times)

crobinson2013 · **on:** Jun 25, 2018

During an eye examination, the nurse requests that the client read letters located on the Snellen E chart. The client's vision is determined to be 20/200. Which statements regarding this client's vision are accurate?

Select all that apply.
1. The client is legally blind.
2. The client is unable to read from a paper at close range.
3. The client is found to be farsighted.
4. The client is myopic.
5. This is common in clients who are over 45 years old.

Question 2

The nurse notices that a client's pupils constrict when reading the consent form for medical treatment. Based on this data, which should the nurse consider as the cause?

1. The room is too dark.
2. The client is able to read.
3. This is a normal response.
4. The client requires glasses for reading.

isabelt_18 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1, 4
When a client's vision is found to be 20/200, the client is legally blind. Clients who are myopic are unable to see objects in the distance. Presbyopia is the inability to see items at close range. The Snellen E chart assists with determining if the client is able to see items in the distance. Clients who are farsighted are able to see things in the distance. This client is unable to see distant objects. This condition is more common in people who are over 45 years old.

Answer to Question 2

Correct Answer: 3
The client's pupils should constrict in response to trying to read what is on the paper. This is a normal finding. When a room is dark, the client's pupils should dilate in response. Pupil constriction occurs as the client focuses on the paper. It does not indicate the client can read. Pupil constriction would not lead the nurse to believe the client needs reading glasses.