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The Nurse Is Assessing a 64-Year-Old Patient Whose Vital Signs

Question 15

Multiple Choice

The nurse is assessing a 64-year-old patient whose vital signs are normal, with a capillary refill time of 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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