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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. While involving the provider might be helpful, it is not the first action the nurse should take. Addressing the client’s immediate emotional needs is crucial.
B. Encouraging the client to verbalize concerns is a key therapeutic communication technique. It allows the client to express anxiety, which can reduce fear and help the nurse provide reassurance and support.
C. Asking the client to focus on current tasks might distract them temporarily but does not address the underlying anxiety about the surgery.
D. Telling the client there is no need to worry dismisses their feelings and may increase anxiety.
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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