When assessing the capillary refill, the nurse may document as normal a refill time of:

1. 3 seconds.
2. 5 seconds.
3. 6 seconds.
4. 8 seconds.


1
Capillary refill is a method of quick assessment of perfusion to the extremities. A normal capillary refill time is 3 seconds or less.

PTS: 1 DIF: Cognitive Level: Comprehension REF: 1123
OBJ: 2 TOP: Capillary Refill
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity

Nursing

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