Page 239 - Critical Care Nursing Demystified
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224        CRITICAL CARE NURSING  DeMYSTIFIED
























































                            FIGURE 5–4  •  Pupillary responses.                                                 Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.158.117] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission.





                            Accommodation
                            Nurses may also check for accommodation. The nurse should point to the far
                            wall and assess the patient’s pupils, which should dilate in an attempt to accom-
                            modate for distance. Then, using an object or the examiner’s finger, have the
                            patient focus on that as it is brought closer into the patient’s field of vision.
                            Normal pupils will constrict at this time.
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