A nurse documents that the client has a normal pupillary light reflex. The nurse should recognize that this reflex indicates which of the following?
The eyes converge to focus on the light.
The eye focuses the image in the center of the pupil.
Dilation of both pupils occurs in response to bright light.
Constriction of both pupils occurs in response to bright light.
The Correct Answer is D
A. The eyes converge to focus on the light.
This statement refers to the convergence reflex, where both eyes move medially (towards each other) to maintain single binocular vision when focusing on a near object. It is not related to the pupillary light reflex, which involves changes in pupil size in response to light.
B. The eye focuses the image in the center of the pupil.
This choice does not accurately describe the pupillary light reflex. The pupillary light reflex involves constriction of the pupil in response to light, not focusing an image in the center of the pupil.
C. Dilation of both pupils occurs in response to bright light.
This statement is incorrect. In response to bright light, the pupils should constrict, not dilate. Dilation of pupils in bright light could indicate an abnormal response, such as in cases of certain neurological conditions or drug use.
D. Constriction of both pupils occurs in response to bright light.
This choice is correct. In the pupillary light reflex, both pupils constrict when exposed to bright light. This response is a protective mechanism to prevent excessive light from entering the eyes, ensuring optimal visual acuity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Frenulum:
The frenulum is a thin band of tissue in the mouth that connects the tongue to the floor of the mouth. It aids in the tongue's movement and flexibility during speaking and swallowing.
B. Palate:
The palate refers to the roof of the mouth. It has two parts: the hard palate (at the front, made of bone) and the soft palate (at the back, made of muscle). The palate plays a crucial role in speech and swallowing.
C. Uvula:
The uvula is a small, fleshy extension at the back of the soft palate in the mouth. It participates in various functions, including speech articulation, preventing food from entering the nasal cavity during swallowing, and producing certain sounds.
D. Papillae:
Papillae are small, raised structures on the tongue that contain taste buds. They are responsible for detecting different tastes: sweet, salty, sour, bitter, and umami (savory). Papillae give the tongue its rough texture.
Correct Answer is A
Explanation
A. The best time to perform a BSE is 4 to 7 days after the first day of the menstrual period:
This statement is correct. Performing BSE a few days after the menstrual period ensures that the breasts are less likely to be swollen or tender, which can make it easier to detect any unusual changes.
B. If she suspects that she is pregnant, then the woman should not perform a BSE until her baby is born:
This statement is incorrect. Pregnant women can still perform breast self-examinations. In fact, it's important for pregnant women to be aware of any changes in their breasts.
C. The best time to perform BSE is in the middle of the menstrual cycle:
This statement is not as accurate as the first choice. While it's true that performing BSE a few days after the menstrual period can be easier due to reduced breast tenderness, it doesn't necessarily mean the middle of the menstrual cycle for every woman. The timing can vary based on an individual's menstrual cycle.
D. The woman needs to perform BSE only bimonthly unless she has fibrocystic breast tissue:
This statement is incorrect. Regular monthly breast self-examinations are recommended for all women, regardless of whether they have fibrocystic breast tissue or not. Detecting changes early is crucial for breast health.
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