The nurse is assessing a child's capillary refill time. This can be accomplished by doing what?

a. Inspect the chest.
b. Auscultate the heart.
c. Palpate the apical pulse.
d. Palpate the nail bed with pressure 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.

Nursing

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