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The Nurse Is Performing an Assessment on an Adult

Question 38

Multiple Choice

The nurse is performing an assessment on an adult. The adult's vital signs are normal, and capillary refill time is 5 seconds. What should the nurse do next?


A) Ask the patient about a history of frostbite.
B) Suspect that the patient has venous insufficiency.
C) Consider this a delayed capillary refill time, and investigate further.
D) Consider this a normal capillary refill time that requires no further assessment.

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