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 B
Explanation
A. "I will take my Furosemide whenever I notice swelling in my legs.": Furosemide should be taken regularly as prescribed, not just in response to symptoms. Intermittent use can lead to inconsistent fluid management and worsening of heart failure.
B. "I should take my Furosemide in the morning to avoid waking up frequently at night to urinate.". Furosemide is a loop diuretic that increases urine output. Taking it in the morning helps avoid nocturia, improving sleep quality while maintaining its therapeutic effects.
C. "It doesn't matter what time I take my Furosemide as long as I take it with food.": While food may reduce gastric irritation, the timing of diuretics is important due to their impact on urination. Random timing can cause sleep disturbances or inadequate symptom control.
D. "I will take my Furosemide at bedtime to prevent swelling overnight.": Taking Furosemide at bedtime increases the risk of nocturia and disrupted sleep. It does not specifically target overnight swelling and is not recommended for nighttime dosing.
Correct Answer is ["10"]
Explanation
Desired dose = 20 mg
Available concentration = 10 mg per 5 mL
- Calculate the concentration in mg/mL:
Concentration (mg/mL) = Available dose / Available volume
= 10 mg / 5 mL
= 2 mg/mL
Volume to administer = Desired dose / Available concentration
= 20 mg / 2 mg/mL
= 10 mL
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