The nurse is assessing the capillary refill on a client who has a new, lower extremity cast. Which documented finding provides the best evidence of an abnormality?
A) Capillary refill within 1 second
B) Capillary refill within 4 seconds
C) Capillary refill brisk
D) Capillary refill sluggish
B
Feedback:
The best evidence that the capillary refill is abnormal is the capillary refill slow at a documented 4 seconds. This evidence is better than just noting that the refill is sluggish. Capillary refill within 1 second and being brisk is normal.
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