A nurse has assessed a patient's capillary refill, which was 5 seconds. What action by the nurse is most appropriate?

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Normal capillary refill is 2 to 3 seconds. Prolonged capillary refill can indicate hypoxia, anemia, or circulatory insufficiency. The nurse should document the findings, but further action is not needed. Asking about artificial nails and occupation are not warranted.

A Nurse Has Assessed a Patient's Capillary Refill, Which Was