A client presents to the clinic with a swollen arm lesion that contains old blood and a sunken-in center. Which question by the nurse yields the most useful information?

a. "Have you traveled out of the country re-cently?"
b. "What do you do for a living or for hob-bies?"
c. "Do you hike or engage in outdoor activi-ties?"
d. "Are you exposed to places where spiders might be?"


B
This lesion has the manifestations of cutaneous anthrax. People at risk for anthrax are farm workers, veterinarians, and people exposed to tanning (of hides) or working with wool. The other questions will not give good information about possible exposure to this disease.

Nursing

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The client asks what happens when beta-2 receptors are stimulated. The nurse's best response would be that this results in:

a. bronchodilation and smooth muscle relaxation. b. bronchodilation and smooth muscle contraction. c. bronchoconstriction and smooth muscle relaxation. d. bronchoconstriction and smooth muscle contraction.

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The leading national accrediting body of health-care organizations is

A) JCAHO B) JACHO C) JAYCO D) JAYCEE

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What is the statistical procedure that is used to determine whether a significant difference exists between any numbers of group means?

A) t-test B) ANOVA C) Correlation coefficient D) Mann Whitney U test

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A nurse is caring for a client with a history of psychosis. The healthcare provider has placed the client on clozapine. Which of the following measures should the nurse employ when caring for this client?

A) Monitor weekly CBC with differential blood counts. B) Observe for involuntary, coordinated rhythmic movements. C) Check for an altered level of consciousness and mental status changes. D) Monitor the client for changes in renal and thyroid function.

Nursing