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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Free Nursing Study Resources

Correct Answer is A

Explanation

A. The Background section of the SBAR communication tool is where relevant medical history, including a family history of malignant hyperthermia, should be included. This information is critical for the surgical team to be aware of before administering anesthesia.

B. The Recommendation section is for suggesting specific actions or interventions based on the current situation and background.

C. The Situation section describes the immediate issue or reason for the handoff, not past medical history.

D. The Assessment section includes the nurse's evaluation of the client’s current condition, not family history.

A. The nurse disagrees with the nurse manager about inadequate staffing. B. The nurse discovers that client does not have advanced directives. C. A staff member has not arrived at the facility to work an assigned shift. D. A client tells the nurse that his dentures are missing.

Correct Answer is D

Explanation

A. Disagreements about staffing issues should be addressed through appropriate channels, but they do not typically require an incident report.

B. The absence of advanced directives is a concern that needs to be addressed, but it does not constitute an incident that requires reporting.

C. A staff member not arriving for their shift is a staffing issue but does not require an incident report unless it directly affects client care.

D. Missing dentures are considered a loss of personal property, which requires documentation through an incident report to ensure accountability and to initiate a search or compensation process.

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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

A nurse is reviewing the client's medical record and notices a family history of malignant hyperthermia. In which of the following sections of the SBAR communication tool should the nurse include this information when completing handoff to the surgical team?

Correct Answer is A

Explanation

A nurse is caring for several clients on a medical-surgical unit. Which of the following client care situations requires the nurse to complete an incident report?

Correct Answer is D

Explanation

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