A nurse is educating a patient about the use of antitussive medications. Which statement by the patient indicates a need for further teaching?

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.

A. Right Pharmacy: While it is important for medications to be obtained from a reliable pharmacy, "Right Pharmacy" is not one of the 10 rights of medication administration. The focus is on ensuring the correct administration process by the nurse or healthcare provider.
B. Right Medication: This is one of the core rights and ensures that the patient receives the exact medication that was prescribed. Verification is essential to avoid medication errors and adverse drug events.
C. Right Physician: Although having accurate prescriptions from a qualified provider is essential, "Right Physician" is not part of the 10 rights. The emphasis is on correct administration to the patient, not the prescriber’s identity.
D. Right Time: Administering medication at the correct time is critical for maintaining therapeutic drug levels, preventing underdosing or overdosing, and optimizing effectiveness especially for time-sensitive medications like insulin or antibiotics.
E. Right Route: Ensuring the medication is given via the prescribed route (oral, IV, subcutaneous, etc.) is vital for proper absorption, action, and safety. Errors in route can lead to severe complications or therapeutic failure.
F. Right Dose: Administering the correct dose is fundamental to achieving the desired therapeutic effect and avoiding toxicity or subtherapeutic dosing. Dosage must always match what is prescribed and appropriate for the patient's age, weight, and condition.