Which of the following assessment findings may indicate peripheral neurovascular dysfunction to the nurse?
A) Pale, warm skin with a capillary refill of 1 to 2 seconds
B) Absence of feeling, capillary refill of 4 to 5 seconds, and cool skin
C) Pain, increased motion, and redness of the skin
D) Jaundiced skin, weakness in motion, and capillary refill of 3 seconds
Ans: B
Feedback: Indicators of peripheral neurovascular dysfunction include pale, cyanotic, or mottled skin with a cool temperature, capillary refill greater than 3 seconds, weakness or paralysis with motion, paresthesia, unrelenting pain, pain on passive stretch, or absence of feeling.
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