An emergency department nurse is making a general appearance assessment on a preschool child just admitted to the emergency department. Which general assessment findings indicate the child "looks bad"? Select all that apply
a. Color pale
b. Capillary refill less than 2 seconds
c. Unwilling to separate from parents
d. Cold extremities
e. Lethargic
A, D, E
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Correct Signs of a child "looking bad" on a general appearance assessment include
pale skin, cold extremities, and lethargy.
Incorrect A capillary refill of less than 2 seconds is a "good sign" as well as a child
who is unwilling to separate from parents (separation anxiety, expected).
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