During an assessment, the nurse has elevated a patient's legs 12 inches off the table and has had him wag his feet to drain off venous blood. After helping him sit up and dangle his legs over the side of the table, the nurse should expect that a normal finding at this point would be:

Correct Answer: B

Rationale: The correct answer is B: Venous filling within 15 seconds. When the patient is sitting up after having his legs elevated, venous blood should quickly return to the legs due to gravity, resulting in venous filling within about 15 seconds. This is a normal physiological response. A: Significant elevational pallor is incorrect as pallor would indicate poor circulation, which is not expected in this scenario. C: No change in the coloration of the skin is incorrect as there should be a change in color due to venous filling. D: Color returning to the feet within 20 seconds of assuming a sitting position is not as specific as option B, which mentions venous filling specifically within 15 seconds.

Correct Answer: D

Rationale: The correct answer is D: Emergency database. In the case of an OxyContin overdose, an emergency database would be the most appropriate type of data collection. This is because an overdose requires immediate and urgent attention, necessitating quick and focused data collection to assess the situation and provide necessary interventions promptly. A complete database (choice A) would be too time-consuming and comprehensive for an emergency situation. A focused or problem-centered database (choice B) may not capture all relevant information in a timely manner. A follow-up database (choice C) would be more suitable for monitoring and tracking progress after the initial emergency has been addressed, rather than for the immediate response to an overdose.

Correct Answer: C

Rationale: Beginning the interview by asking open, friendly questions about school and hobbies is the correct approach to establish rapport with a 15-year-old patient. This strategy helps create a comfortable and non-threatening environment, allowing the adolescent to feel more at ease and willing to engage in the conversation. By showing genuine interest in the patient's personal life and interests, you are demonstrating respect and building trust. This approach also allows the adolescent to feel heard and valued, which can lead to more open and honest communication during the rest of the interview. It sets a positive tone for the interaction and helps establish a connection before delving into more sensitive topics related to health.

Correct Answer: C

Rationale: The correct answer is C because a Hill-Sachs lesion is indeed a compression fracture of the posterolateral aspect of the humeral head caused by abutment against the anterior rim of the glenoid fossa. This occurs during anterior shoulder dislocations. Option A is incorrect because a Hill-Sachs lesion is associated with anterior, not posterior, dislocations. Option B is incorrect because shoulder instability due to a Hill-Sachs lesion depends on the size and location of the defect, not a specific percentage of the articular surface. Option D is incorrect because Speed's test is used to assess biceps tendon pathology, not Hill-Sachs lesions.

Correct Answer: A

Rationale: The correct answer is A: Extensor pollicis brevis (EPB) and abductor pollicis longus (APL). These two tendons make up the first dorsal compartment of the wrist. The EPB is responsible for extending the thumb, while the APL is responsible for abducting the thumb. The other choices are incorrect because they do not accurately represent the tendons that comprise the first dorsal compartment. Choice B incorrectly pairs the extensor pollicis longus (EPL) and abductor pollicis brevis (APB). Choice C lists extensor carpi radialis longus and APL, which are not part of the first dorsal compartment. Choice D pairs extensor carpi radialis brevis and APB, which is also incorrect.