NCLEX Question of the Day
Physiological Adaptation QID 1157
When assessing a client's neurological status, the nurse notes the following PERRLA. This indicates:
Explanation
PERRLA is an acronym for 'Pupils Equal, Round, Reactive to Light and Accommodation,' which are normal pupil assessment findings.
'Equal' means the right and left pupils are the same size. 'Round' indicates a normal pupil shape. 'Reactive to light'means the pupils constrict briskly when a light is shone into the eyes. 'Accommodation' refers to the pupils' ability to convergeas the eyes focus on a near object.
Pupils that accommodate but don't react to light, pinpoint pupils, or pupils described only as 'round and regular' with no mention of light reactivity or equality, would be abnormal findings requiring further investigation.
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