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    Ati lpn med surg integumentary test proctored exam

    When assessing the capillary refill, the nurse may document as normal a refill time of ______ seconds.

    Explanation & Rationale

    A. A capillary refill time of 10 seconds is abnormally prolonged and may indicate poor peripheral perfusion, dehydration, hypothermia, or circulatory compromise. B. A refill time of 6 seconds is slightly prolonged; normal capillary refill should be faster. This may suggest mild circulatory or vascular compromise and requires further assessment. C. A capillary refill time of ≤3 seconds is considered normal in adults and children. It indicates adequate peripheral perfusion and circulation. Nurses use this quick assessment to evaluate vascular status, especially in extremities. D. A refill time of 8 seconds is prolonged and may reflect poor perfusion due to shock, hypothermia, or vascular obstruction. This is not within the normal range.

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