An occupational health nurse is assessing agricultural workers for acute effects of pesticide exposure. Which of the following findings should the nurse expect?

The correct answer is choice B, "Avoid direct sunlight between 10 am and 4 pm." Skin cancer is a prevalent form of cancer, and the primary prevention strategies include avoiding exposure to ultraviolet (UV) radiation. The nurse's statement emphasizes the importance of avoiding the sun's peak intensity, which is between 10 am and 4 pm, to reduce exposure to UV radiation. This primary prevention strategy is effective in reducing the risk of skin cancer, especially for individuals with fair skin, a history of sunburn, or a family history of skin cancer. It is also important to encourage individuals to wear protective clothing, apply sunscreen with a minimum sun protection factor (SPF) of 30, and avoid indoor tanning to further reduce exposure to UV radiation.

The correct answer is choice A. A client who has a rigid abdomen with manifestations of shock should receive treatment priority in this situation. In a bombing incident, clients with life-threatening injuries, such as those with uncontrolled bleeding, airway compromise, or shock, should receive immediate attention. A rigid abdomen may indicate internal bleeding, which is a medical emergency requiring prompt intervention. Manifestations of shock, such as tachycardia, hypotension, and altered level of consciousness, indicate poor tissue perfusion and require immediate intervention. The other clients described in the question have less severe injuries and can wait for treatment while more critical injuries are addressed first. A femur fracture with a 2+ pedal pulse indicates adequate circulation to the extremity, superficial partial-thickness burn injuries over 5% of the body are not life-threatening, and an ambulatory client with manic behavior does not have immediate medical needs.