The nurse is checking for capillary refill on a child in Bryant's traction. How long does it take for the toe nailbed to regain color if adequate perfusion is assessed?

3 seconds

4 seconds

6 seconds

5 seconds

Answer and Explanation

The Correct Answer is A

A. Normal capillary refill time is generally less than 3 seconds, indicating adequate peripheral perfusion.
B. Four seconds is prolonged and may suggest compromised circulation.
C. Six seconds is significantly delayed and indicates poor perfusion requiring immediate attention.
D. Five seconds is also prolonged and suggests impaired circulation.

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Correct Answer is A

Explanation

A. Myasthenia gravis is an autoimmune disorder where antibodies attack acetylcholine receptors at the neuromuscular junction, leading to muscle weakness.
B. Inability of basal ganglia to produce sufficient dopamine is related to Parkinson’s disease, not myasthenia gravis.
C. A post-viral illness with ascending paralysis describes Guillain-Barré syndrome.
D. Loss of the myelin sheath surrounding peripheral nerves occurs in diseases like multiple sclerosis and peripheral neuropathies, not myasthenia gravis.

A. Has delayed fine-motor development B. Exhibits atrophy of calf muscles C. Ambulates by holding onto furniture D. Falls frequently and is clumsy

Correct Answer is D

Explanation

A. Delayed fine-motor development is not typically an early or defining feature of Duchenne's muscular dystrophy (DMD); gross motor delays are more characteristic.
B. In DMD, the calf muscles may appear enlarged (pseudohypertrophy)due to fat and connective tissue replacing muscle, not true atrophy in early stages.
C. Holding onto furniture is more characteristic of toddlers with normal or delayed gross motor development, not specific to DMD.
D. Frequent falls and clumsinessare hallmark early signsof DMD, reflecting progressive muscle weakness, especially in the pelvic and thigh muscles.

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The nurse is checking for capillary refill on a child in Bryant's traction. How long does it take for the toe nailbed to regain color if adequate perfusion is assessed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is newly diagnosed with myasthenia gravis. Client education would include which condition as the cause of the disease?

Correct Answer is A

Explanation

What characteristic manifestation does the nurse caring for a child with Duchenne's muscular dystrophy document?

Correct Answer is D

Explanation

A nurse is collecting data from a client who has Parkinson's disease and is experiencing bradykinesia. Which of the following findings should the nurse expect?

Which statement indicates that the patient needs further instruction about application of ice to a sprain?

A client in status epilepticus arrives at the emergency department. The family is interviewed to determine the cause of this problem. Which event may have predisposed the client to this condition?

The nurse is checking for capillary refill on a child in Bryant's traction. How long does it take for the toe nailbed to regain color if adequate perfusion is assessed?

A parent reports that her child has begun to do poorly at school and experiences episodes where he appears to be staring into space. Of which type of seizure is this behavior a characteristic?

An 80-year-old man falls and suffers a compound fracture of the femur. Which immediate action is most appropriate?

(PHARM) Which of the following is a primary therapeutic use of allopurinol?

Carpal tunnel syndrome (CTS) is caused when the carpal tunnel compresses which location?