In infants or small children, a capillary refill time of 4 seconds:

a. is normal.
b. indicates hypervolemia.
c. indicates dehydration or hypovolemic shock.
d. indicates renal artery stenosis.


C
Capillary refill time represents the time it takes the capillary bed to refill after being occluded by pressure to the nail bed for several seconds. Observe the time it takes for the nail to regain its full color, which should be less than 2 seconds for an intact system. The capillary refill time will be longer than 2 seconds during arterial occlusion, hypovolemic shock, hypothermia, and dehydra-tion.

Nursing

You might also like to view...

An ICU manager is taking classes toward earning a master?s degree in nursing. The manager realizes employee characteristics that most influence job effectiveness are:

1. Ability and motivation. 2. Age and religion. 3. Education and gender. 4. Experience and attitude.

Nursing

Order: Thorazine 10 mg IV q6h The child weighs 66 lb. The recommended daily dose is 0.55 mg/kg given q6-8h. Available:

a. 2.5 mL b. 0.4 mL c. 1.1 mL d. Hold and clarify orderĂ¢â‚¬"overdose

Nursing

For this question, select the appropriate phrase that best describes the flaw in the item: When do you take your medication?

A) Lacks clarity in wording B) Is biased in wording C) Contains overlapping responses D) Lacks sufficient alternatives from which to choose

Nursing

Signs of an impending catastrophic reaction are

A. increased physical activity. B. sullen and withdrawn behavior. C. explosive behavior and physical violence. D. laughing and joking with others.

Nursing