The nurse must assess a child's capillary refill time. This can be accomplished by:
a. inspecting the chest.
b. auscultating the heart.
c. palpating the apical pulse.
d. palpating the skin to produce a slight blanching.
ANS: D
Capillary refill time is assessed by pressing lightly on the skin to produce blanching, and then noting the amount of time it takes for the blanched area to refill. Inspecting the chest, auscultating the heart, and palpating the apical pulse will not provide an assessment of capillary refill time.
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