On a health history, a client reports no visual disturbances, last eye exam two years ago, and does not wear glasses. the nurse notices that the client squints when signing the consent for treatment form and holds the paper close to the face. what should the nurse do next?

Perform both the distant and near visual acuity tests

Explanation:

Although the client's health history does not report visual disturbances, it has been a long time since this client had an eye exam, so his or her vision may have deteriorated since the last exam. In addition, the client shows signs that they are not in perfect vision and will need some treatment. Realizing this, the first thing the nurse should do is to perform distant and near-visual acuity tests to assess the client's quality of vision and indicate that the client wear glasses, or undergo treatment if necessary.