While completing a physical assessment on a patient, a nurse shines a light into the patient's right eye and notes pupillary constriction in the left eye. The nurse should chart this response as:


• A consensual pupil response is a crossed reflex in which light directed at one eye causes contraction of the pupil in both eyes

• Under normal conditions, both eyes respond identically to the light stimulus regardless of which eye is stimulated. Comparing the two responses can help locate a lesion in the nerve pathways

• Incorrect: A direct reaction occurs when the illuminated pupil constricts 

• Incorrect: Accommodation and pupillary convergence occur when the patient stares at an object three-to-four feet away, then the object is moved toward the patient's nose. Pupils should constrict as the object moves toward the patient's nose. Pupil responses are uniform

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