Author Question: The nurse is assessing a child's capillary refill time. This can be accomplished by doing what? ... (Read 70 times)

nenivikky · **on:** Jun 28, 2018

The nurse is assessing a child's capillary refill time. This can be accomplished by doing what?

a. Inspect the chest.
b. Auscultate the heart.
c. Palpate the apical pulse.
d. Palpate the nail bed with pressure to produce a slight blanching.

Question 2

Which type of breath sound is normally heard over the entire surface of the lungs except for the upper intrascapular area and the area beneath the manubrium?

a. Vesicular
b. Bronchial
c. Adventitious
d. Bronchovesicular

kbennett34 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
Capillary refill time is assessed by pressing lightly on the skin to produce blanching and then noting the amount of time it takes for the blanched area to refill. Inspecting the chest, auscultating the heart, and palpating the apical pulse will not provide an assessment of capillary refill time.

Answer to Question 2

ANS: A
This is the definition of vesicular breath sounds. They are heard over the entire surface of the lungs, with the exception of the upper intrascapular area and the area beneath the manubrium. Bronchial breath sounds are heard only over the trachea near the suprasternal notch. Adventitious breath sounds are not usually heard over the chest. These sounds occur in addition to normal or abnormal breath sounds. Bronchovesicular breath sounds are heard over the manubrium and in the upper intrascapular regions, where the trachea and bronchi bifurcate.