A female in her late twenties stumbled into the emergency room, her face flushed and sweaty. Upon initial assessment, the triage nurse observed rapid breathing and mild confusion. The patient reported a persistent headache lasting several days, for which she had been self-medicating with an undetermined amount of Aspirin. Given this clinical picture, the triage nurse suspected possible salicylate toxicity and began a focused assessment. Which of the following manifestations would the triage nurse identify as a classic finding of salicylate toxicity?
Dry Cough
Xanthopsia (Yellow Vision)
Moon Facies
Tinnitus
The Correct Answer is D
A. Dry Cough: A dry cough is not typically associated with salicylate toxicity. It is more commonly seen in conditions like ACE inhibitor use, respiratory infections, or asthma, and does not help distinguish salicylate overdose.
B. Xanthopsia (Yellow Vision): This visual disturbance is more classically linked to digoxin toxicity, not salicylates. Patients experiencing digoxin toxicity may report seeing halos or yellow-tinted vision, but this is not seen with aspirin overdose.
C. Moon Facies: This refers to a rounded facial appearance typically caused by chronic corticosteroid use and is a hallmark of Cushingoid features, not salicylate toxicity.
D. Tinnitus: Ringing in the ears (tinnitus) is a classic early symptom of salicylate toxicity. It often precedes more serious effects like metabolic acidosis, hyperventilation, confusion, and even seizures. It serves as an important clinical clue when assessing patients with possible aspirin overdose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"}}
Explanation
- Subcutaneous: A parenteral route where medication is injected into the tissue layer between the skin and muscle. It bypasses the gastrointestinal (GI) tract, allowing for faster absorption of certain medications like insulin or heparin.
- NG Tube: A form of enteral administration that delivers medication directly into the stomach via a nasogastric tube. This route utilizes the GI tract and is often used for patients who cannot swallow.
- Oral: A classic enteral route involving medication taken by mouth and absorbed through the digestive tract. It is the most common and convenient method of drug delivery.
- Rectal: An enteral route that involves administration of medication into the rectum, where it is absorbed by the lower GI tract. It is often used when oral administration is not feasible.
- Intramuscular: A parenteral route where medication is injected into a muscle, offering faster absorption than enteral routes. Common for vaccines and certain pain medications.
- Intravenous: A parenteral route that delivers medication directly into the bloodstream. It provides the most rapid onset of action and is used for critical care, emergencies, and precise dosing.
Correct Answer is ["0.5"]
Explanation
Desired dose = 250 mg
The medication label for Chlorzoxazone Tablets, USP states: 500 mg per tablet.
- Determine the number of tablets needed:
Number of tablets = Desired dose / Dose per tablet
= 250 mg / 500 mg/tablet
= 0.5 tablet
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