Author Question: You are the school nurse assessing the neurovascular status of a child who had a sports injury. You ... (Read 87 times)

notis · **on:** Jun 27, 2018

You are the school nurse assessing the neurovascular status of a child who had a sports injury. You check the skin color, capillary refill, skin temperature, and pulses of distal extremities.

You report the capillary refill as within the normal range if it is less than: a. 6 seconds c. 4 seconds
b. 5 seconds d. 3 seconds

Question 2

The nurse takes the temperature of a newborn and gets a reading of 37.7 degrees C (99.6 degrees F). The nurse interprets this temperature as:

a. very high for a newborn and calls the health care practitioner
b. high for an infant of this age and decides to retake it in 20 minutes
c. normal and proceeds to chart the temperature in the infant's record
d. below normal and adds a warmed blanket to the infant's crib

yasmin · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D

Feedback
A Incorrect. Capillary refill is not within the normal range if it is less than 6 seconds.
B Incorrect. Capillary refill is not within the normal range if it is less than 5 seconds.
C Incorrect. Capillary refill is not within the normal range if it is less than 4 seconds.
D Correct. Capillary refill is within the normal range if it is less than 3 seconds.

Answer to Question 2

C

Feedback
A Incorrect. Taking the temperature of a newborn, the nurse gets a reading of 37.7 degrees C (99.6 degrees F). The nurse does not interpret this temperature as very high for a newborn and does not call the health care practitioner.
B Incorrect. Taking the temperature of a newborn, the nurse gets a reading of 37.7 degrees C (99.6 degrees F). The nurse does not interpret this temperature as high for an infant of this age and does not decide to retake it in 20 minutes.
C Correct. Taking the temperature of a newborn, the nurse gets a reading of 37.7 degrees C (99.6 degrees F). The nurse interprets this temperature as normal and proceeds to chart the temperature in the infant's record.
D Incorrect. Taking the temperature of a newborn, the nurse gets a reading of 37.7 degrees C (99.6 degrees F). The nurse does not interpret this temperature as below normal and does not add a warmed blanket to the infant's crib.