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 D

Explanation

A. Opioid analgesics generally lower blood pressure due to their vasodilatory effects, rather than increasing it.

B. Opioids typically decrease coughing by suppressing the cough reflex, which can be a side effect to monitor in postoperative clients.

C. Opioid analgesics often depress the respiratory rate, so they do not increase it.

D. Opioids are effective in reducing pain, which in turn helps reduce anxiety and improve comfort in postoperative patients.

A. Return the excess medication to the secure cabinet. B. Have a second nurse witness the disposal of the excess medication. C. Save the excess medication for the next administration. D. Place the excess medication in the sharps container.

Correct Answer is B

Explanation

A. Excess medication that has been withdrawn from a vial should not be returned to the secure cabinet to avoid contamination and ensure safety.

B. It is standard practice to have a second nurse witness and document the disposal of excess medication, especially controlled substances like morphine, to ensure accurate accounting and compliance with regulations.

C. Saving excess medication for the next administration is not safe practice and could lead to medication errors or contamination.

D. Placing the excess medication in the sharps container is incorrect because liquid medications should not be disposed of in this manner; they should be properly wasted according to facility protocols.

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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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Explanation

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