A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?

Tinnitus

Respiratory depression

Nystagmus

Clay colored stools

Answer and Explanation

The Correct Answer is A

This is because aspirin can cause salicylate toxicity, which can manifest as tinnitus, hearing loss, vertigo, headache, confusion, and hyperventilation. The nurse should monitor the client's serum salicylate level and advise the client to report any signs of toxicity to the provider.

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Correct Answer is B

Explanation

This is because sputum culture can identify the presence and type of mycobacteria that cause TB, while other tests can only indicate exposure or infection. Sputum culture results may take several weeks, so treatment should be initiated based on clinical suspicion and other tests.

A. WBC 5,000/mm3 B. Platelets 150,000/mm3 C. Positive Western blot test D. CD4-T-cell count 180 cells/mm3

Correct Answer is D

Explanation

CD4-T-cell count 180 cells/mm3 is the nurse's priority. Rationale: This is because a low CD4-T-cell count indicates a high risk of opportunistic infections and impaired immune function. The nurse should implement infection prevention measures and monitor the client for signs of infection. The other values are not as critical as the CD4-T-cell count.

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A nurse is caring for a client who is taking aspirin for arthritis. The nurse should identify which of the following findings as an adverse effect of this medication?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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