The nurse is caring for a patient who just returned from surgical decompression of the carpal tunnel. Which finding requires the nurse's immediate action?
a. The patient's fingers swollen and warm.
b. The patient complains of generalized pain 5/10.
c. The capillary refill time is 8 seconds.
d. The patient's fingers are pink and cool bilaterally.
C
A capillary refill of over 5 seconds is an indication of diminished perfusion. Pain and swelling are to be expected, and pink but cool fingers bilaterally do not indicate circulatory compromise.
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