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 B
Explanation
A.While learning disabilities can contribute to declining academic performance, they typically present as ongoing challenges rather than sudden behavioral changes like "daydreaming" spells.
B.Absence seizures are characterized by sudden, brief periods of staring or unresponsiveness. These can be mistaken for daydreaming, especially in school-aged children, and often lead to academic difficulties if left untreated. A healthcare evaluation is necessary.
C.ADHD usually involves consistent patterns of inattention, hyperactivity, and impulsivity, rather than short, repetitive lapses in awareness seen with absence seizures.
D.Hearing loss might explain inattentiveness or poor academic performance, but it does not typically present as sudden, repeated staring episodes without awareness.
Correct Answer is A
Explanation
A. Diazepam is a benzodiazepine that acts quickly to stop active seizures and is the first-line medication for status epilepticus.
B. Lisinopril is an antihypertensive and not used for seizure management.
C. Atenolol is a beta-blocker used for cardiac conditions and not related to seizure treatment.
D. Phenytoin is used for seizure prevention and maintenance therapy but is not the initial emergency treatment for status epilepticus.
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