Question

Which of the following is an abnormal capillary refill finding that the nurse should report?

1)1 second
2)2 seconds
3)3 seconds
4)4 seconds

Answer 1

A capillary refill time of 4 seconds should be reported as an abnormal finding.

Step-by-step explanation:

The nurse should report a capillary refill time of 4 seconds as an abnormal finding.

Capillary refill time is the time it takes for the blood to return to the capillaries after they have been compressed. In a healthy individual, it usually takes less than 2 seconds for the color to return to the compressed area.

A capillary refill time of 4 seconds indicates poor peripheral circulation and possible compromise of oxygen delivery to the tissues, which should be reported to the nurse.