The nurse is performing a physical assessment at the change of shift on an older adult client.Assessment indicates a breathing rate of 30 breaths per minute, breath sounds are clear to auscultation in all five lobes, and the client denies dyspnea.Which finding does the nurse expect with assessment of the client's capillary refill?
A)Nail beds dusky, capillary refill 10 seconds
B)Nail beds cyanotic, capillary refill 4 seconds
C)Nail beds pink, capillary refill 5 seconds
D)Nail beds blanched, capillary refill 3 seconds

Question

Quizplus · Accepted Answer

Capillary refill time is normally less than 3 seconds. A capillary refill time of 5 seconds indicates delayed capillary refill, which can be a sign of poor peripheral perfusion.

The Nurse Is Performing a Physical Assessment at the Change