A nurse in an urgent care center is collecting data from a client who reports taking an excessive amount of aspirin. Which of the following findings should the nurse identify as an indication of salicylism?

Joint pain

Diuresis

Tinnitus

Respiratory depression

Answer and Explanation

The Correct Answer is C

A. Joint pain is not typically associated with salicylism; it is more likely related to underlying conditions such as arthritis.

B. Diuresis, or increased urination, is not a common sign of salicylism.

C. Tinnitus, or ringing in the ears, is a classic symptom of salicylism and is often one of the first signs of aspirin toxicity.

D. Respiratory depression is more associated with opioid overdose, whereas salicylism can cause respiratory alkalosis initially.

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Correct Answer is C

Explanation

A. Albuterol may be used to treat bronchospasm associated with anaphylaxis, but it is not the first-line treatment.

B. Hydrocortisone sodium succinate is a corticosteroid that can help reduce inflammation, but it is not the first-line treatment in acute anaphylaxis.

C. Epinephrine is the first-line treatment for anaphylactic shock. It acts quickly to constrict blood vessels, increase heart rate, and open airways, counteracting the severe allergic reaction.

D. Diphenhydramine is an antihistamine that can help alleviate allergic symptoms but should be given after epinephrine in anaphylactic emergencies.

A. Keep artificial nails trimmed short. B. Change gloves between tasks on the same client. C. Use alcohol-based hand rubs before administering eye drops for a client D. Wash hands with alcohol-based hand rubs when caring for a client who has Clostridium difficile.

Correct Answer is B

Explanation

A. Artificial nails, even if trimmed short, are discouraged in healthcare settings because they can harbor bacteria and increase the risk of infection.

B. Changing gloves between tasks on the same client is crucial to prevent cross-contamination and reduce the risk of spreading pathogens between different areas of the client’s body or different tasks.

C. Alcohol-based hand rubs are appropriate before administering eye drops; however, the correct answer is more focused on direct infection control practices like changing gloves.

D. When caring for a client with Clostridium difficile, hand washing with soap and water is required, not alcohol-based hand rubs, as alcohol is not effective against C. difficile spores.

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A nurse in an urgent care center is collecting data from a client who reports taking an excessive amount of aspirin. Which of the following findings should the nurse identify as an indication of salicylism?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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