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    Ati nurs 113 med surg sensory neuro proctored exam
    Select All That Apply

    The nurse performing a neurovascular check on a limb in traction would report and document which finding(s) as indicative of altered circulation? (Select the 2 correct answers)

    Explanation & Rationale

    A. The ability to flex and stretch the distal limb indicates intact motor function, not altered circulation. B. A capillary refill time greater than 5 seconds suggests poor peripheral perfusion and possible vascular compromise. C. A pulse equal to the unaffected limb indicates normal circulation. D. A limb that is cool to touch suggests decreased blood flow and impaired circulation. E. Patient awareness of touch and temperature indicates intact sensory function, not circulation issues.

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