Question

As a part of a regular check-up, the nurse performs a physical examination on the client. How should the nurse test for capillary refill time?

a) By bending the client's foot upward toward the leg
b) By assessing the apical and radial pulses simultaneously
c) By noting localized skin discolorations
d) By pressing a nail bed until it blanches

Answer 1

To test for capillary refill time, the nurse should press on the client's nail bed until it blanches and then release the pressure. The nurse then observes how long it takes for the color to return to the nail bed. If it takes longer than 2 seconds, it may indicate poor circulation or other health issues.

Step-by-step explanation:

To test for capillary refill time, the nurse should press on the client's nail bed until it blanches and then release the pressure. The nurse then observes how long it takes for the color to return to the nail bed. Normally, it should take less than 2 seconds for the color to return. If it takes longer, it may indicate poor circulation or other health issues.

For example, if the nurse presses on the nail bed and it takes 5 seconds for the color to return, it could suggest that there is a problem with blood flow to that area. This test helps assess the perfusion and circulation of the client's extremities.