When assessing the capillary refill, a nurse should document as normal a refill time of __________ seconds
Fill in the blank(s) with correct word
3
Capillary refill is a method of quick assessment of perfusion to the extremities. A normal capillary refill time is 3 to 5 seconds or less.
You might also like to view...
A nurse is assessing patients for the presence of patent ductus arteriosus (PDA). Which patient should the nurse assess first?
A. 1-year old, history of frequent colds B. 4-year old, blood pressure of 102/36 mm Hg C. Infant with history of poor feeding D. Toddler with murmur at right sternal border
To maintain their skill sets, the nurses who provide care in the OR of a large university hospital take turns acting in the circulating role and the scrub role. Which of the following tasks is the sole domain of the scrub nurse?
A) Performing a count of instruments and supplies after surgery B) Monitoring the aseptic technique of the surgical team C) Coordinating the activities of the surgical team D) Setting up a sterile field
A client is receiving theophylline. The nurse checks the client's serum theophylline level and finds it to be less than therapeutic. The nurse reviews the client's medical record, noting that which of the following might be a reason for this?
Select all that apply. A) Nicotine B) Allopurinol C) Verapamil D) Phenytoin E) Ketoconazole
A 14-year-old female who has type 1 diabetes mellitus that has been well-controlled for several years is admitted to the hospital for treatment of severe hyperglycemia. The patient's lab values indicate poor glycemic control for the past 3 months
The nurse caring for this patient will suspect which cause for the change in diabetic control? a. Adolescent rebellion and noncompliance b. Changes in cognitive function c. Hormonal fluctuations d. Possible experimentation with drugs or alcohol