Which step immediately follows asking the client to close the right eye gently in the described visual field assessment sequence?

Which step immediately follows asking the client to close the right eye gently in the described visual field assessment sequence?

• A. Direct client to stand 60 cm away from eye level
• B. Close opposite eye to superimpose field of vision
• C. Move finger equidistant between nurse and client
• D. Ask client to report when they see finger

Answer: (B)

In a visual field confrontation test, you measure each eye’s peripheral vision separately. After telling the client to gently close the right eye, the next step is to cover the opposite eye so only the right eye is tested. This isolation prevents input from the other eye, ensuring the results reflect the monocular field of the eye being evaluated. Once the eye is occluded, you proceed with presenting a stimulus at a fixed distance and recording when the client sees it. Keeping the other eye open would allow binocular cues that can mask true deficits, so occluding the opposite eye is the correct immediate next action.

In a visual field confrontation test, you measure each eye’s peripheral vision separately. After telling the client to gently close the right eye, the next step is to cover the opposite eye so only the right eye is tested. This isolation prevents input from the other eye, ensuring the results reflect the monocular field of the eye being evaluated. Once the eye is occluded, you proceed with presenting a stimulus at a fixed distance and recording when the client sees it. Keeping the other eye open would allow binocular cues that can mask true deficits, so occluding the opposite eye is the correct immediate next action.