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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
Use the formula:
Volume to administer = Ordered dose ÷ Concentration available
Volume = 45 mg ÷ 30 mg/mL
Volume = 1.5 mL
Final Answer:1.5 mL
Syringe #1 should be shaded at 1.5 mL(to the tenths place).
Correct Answer is A
Explanation
A. The hypoglossal nerve (cranial nerve XII) controls tongue movements, so asking the patient to move the tongue side to side tests its function.
B. Checking air movement through each nostril assesses the olfactory nerve (cranial nerve I).
C. Asking the patient to shrug the shoulders tests the accessory nerve (cranial nerve XI).
D. Asking the patient to wrinkle the forehead tests the facial nerve (cranial nerve VII).
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