When assessing a patient with a fractured tibia and fibula, the nurse should report to the physician if the capillary refill time is greater than ____________________ seconds

Fill in the blank with the appropriate word.


ANS:
3 to 5
When assessing a patient with a fractured tibia and fibula, the nurse should report to the physician if the capillary refill time is greater than 3 to 5 seconds, as it can indicate circulatory compromise.

Nursing

You might also like to view...

A 30-year-old male client is admitted to the psychiatric unit with a diagnosis of bipolar disorder

His family reports that for the past 2 months he has been in constant motion, sleeping very little, spending lots of money, and has been "full of ideas." During the initial assessment with the client, the nurse would expect him to exhibit which of the following? A. Short, polite responses to interview questions B. Introspection related to his present situation C. Exaggerated self-importance D. Feelings of helplessness and hopelessness

Nursing

A case manager at the local mental health center evaluates the clinical appropriateness of a patient's current level of care. To do this, the case manager will assess:

a. the type of service currently provided. b. the vigor of the patient to whom the service is provided. c. the type, amount, and level of care needed to achieve positive outcomes. d. whether the level of the patient's care is currently considered cost effective.

Nursing

A client is admitted to the hospital with a diagnosis of parasitic worms. The nurse understands that the primary cell type that will attack these foreign particles is:

1. Basophils 2. Neutrophils 3. Eosinophils 4. Dendritic cells

Nursing

A nurse caring for a patient with an external ventriculostomy notices that the CSF has changed from clear to pink-tinged. What condition might this signify?

A) Embolus B) Edema C) Catheter displacement D) Bleeding in the ventricles

Nursing