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The Nurse Is Performing an Assessment on an Adult

Question 3

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

Correct Answer:

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