Assessment of light reaction of pupil

[tkyeung]

In a normal situation, when a torch shines light on the pupil, the pupil constricts. If the torch is not moved away and continues to shine the pupil, what will happen to the pupil size?

[tkyeung]

In my hospital, the assessment form only allows me to fill in reactive (十sign)or non reactive(-sign) for pupil reaction. Therefore i must choose reactive if reaction takes place, non reactive if no reaction takes place.

[JustBeachyNurse, LPN]

In my hospital, the assessment form only allows me to fill in reactive (十sign)or non reactive(-sign) for pupil reaction. Therefore i must choose reactive if reaction takes place, non reactive if no reaction takes place.

What does your nurse manager, hospital policy and/or clinical nurse educator instruct in such a scenario? Again it's likely not an issue as if you have a patient with pupils that dilate in response to bright light which box to tick will be the least of your issues but all nursing documentation whether handwritten of electronic should have the option for a narrative explanation of findings outside normal limitations. There is no need to complicate the potential circumstance further.

Based upon your syntax and incessant need to oversimplify are you in the US and/or is English your first language? Your linguistic skills seem to be a major comprehension barrier

[Esme12, ASN, BSN, RN]

In my hospital, the assessment form only allows me to fill in reactive (十sign)or non reactive(-sign) for pupil reaction. Therefore i must choose reactive if reaction takes place, non reactive if no reaction takes place.

then you need to seek the advice of your peers, manager, or educator.

[Esme12, ASN, BSN, RN]

What does your nurse manager, hospital policy and/or clinical nurse educator instruct in such a scenario? Again it's likely not an issue as if you have a patient with pupils that dilate in response to bright light which box to tick will be the least of your issues but all nursing documentation whether handwritten of electronic should have the option for a narrative explanation of findings outside normal limitations. There is no need to complicate the potential circumstance further.

Based upon your syntax and incessant need to oversimplify are you in the US and/or is English your first language? Your linguistic skills seem to be a major comprehension barrier

they are not in the US.

[BrandonLPN, LPN]

In my hospital, the assessment form only allows me to fill in reactive (十sign)or non reactive(-sign) for pupil reaction. Therefore i must choose reactive if reaction takes place, non reactive if no reaction takes place.

This is why I think old fashioned narrative-nurses notes are better than all these forms and flow sheets that seem to be the norm these days.

It forces you to write your assessment out in narrative form. No checking boxes or writing plus or minus signs.

[KelRN215, BSN, RN]

Why would you continue to shine light in someone's eyes after you have already assessed their pupillary reaction? No further reaction will be noted if you don't move the flashlight away BUT, in pediatrics at least, your patient will likely hit/kick you to get you to move the light or will squeeze his eyes shut.