Nurse observes that the pupils are unequal

Reference no: EM133633218

Question

While performing a head-to-toe assessment on a client admitted 2 days ago, the nurse observes that the pupils are unequal. The nurse reviews the client's chart and notes that pupils are documented as equal, round, and reactive on the comprehensive admission assessment. What is the first action of the nurse? Document findings. Contact the nurse who performed the admission assessment. Perform a focused assessment on the client. Perform a comprehensive assessment on the client.

Reference no: EM133633218

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