Question

The nurse has applied a restraint to the child's right wrist to prevent the child from pulling out an intravenous line. Which assessment findings ensure that there is proper circulation to the child's right arm? Select all that apply.
a) Fingers are pink and warm bilaterally
b) Radial pulses are easily palpable bilaterally
c) Lungs are clear throughout
d) Capillary refill is less than 2 seconds in upper extremities bilaterally
e) Bowel sounds present in all four quadrants

Answer 1

Answer:

d) capillary refill is less than 2 seconds in upper extremities bilaterally

Explanation:

Capillary refill of the extremities is tested by putting pressure on the nail for like a second it will turn red and become clear back in less than two seconds. This illustrates the integrity of the blood supply of the body