Question

question 40 when the nurse assesses capillary refill on a client who is seen in the emergency department for intestinal obstruction, what finding is concerning to the nurse? answers: a - d a return that is 1 second. b return that is 0.5 seconds. c return that is 2 seconds. d return that is 4 seconds.

Explanation:

Normal capillary refill time is typically less than 2 - 3 seconds. A refill time of 4 seconds indicates poor peripheral perfusion, which is a concerning finding for a patient with intestinal obstruction who may have compromised circulation.

Answer:

D. Return that is 4 seconds