Signs of Salicylate toxicity include all of the following except:

Hepatotoxicity

GI bleeding

Mental confusion

Tinnitus

Answer and Explanation

The Correct Answer is A

A. Hepatotoxicity is not a primary sign of salicylate toxicity; salicylate toxicity is more commonly associated with gastrointestinal issues, mental confusion, and tinnitus.

B. GI bleeding is a common sign of salicylate toxicity due to its effect on the gastrointestinal lining.

C. Mental confusion can occur as a result of salicylate toxicity affecting the central nervous system.

D. Tinnitus is a classic symptom of salicylate toxicity.

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Correct Answer is C

Explanation

A. Allowing the wound to air periodically is not recommended as it can expose the incision to potential contaminants.

B. Protective isolation is not typically necessary unless the client is immunocompromised or has an infection.

C. Performing hand hygiene before dressing changes is one of the most important measures to prevent infection by reducing the risk of introducing pathogens to the wound.

D. Cleaning the incision with soap and water is generally not recommended; usually, a specific antiseptic solution is used as directed by the surgeon.

A. Immobility B. Fracture C. Atrial fibrillation D. Anticoagulant therapy

Correct Answer is ["A","B","E"]

Explanation

A. Immobility is a significant risk factor for DVT because it can lead to blood stasis in the veins, increasing the risk of clot formation.

B. Fractures, particularly of the lower limbs, can lead to immobilization and contribute to the development of DVT.

C. Atrial fibrillation is associated with an increased risk of clot formation, but these clots typically form in the atria of the heart, not the deep veins. While these clots can embolize to other parts of the body, atrial fibrillation itself is not a direct cause of DVT.

D. Anticoagulant therapy is typically used to prevent DVT, not as a risk factor.

E. Estrogen therapy is associated with an increased risk of clot formation, making it a risk factor for DVT.

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Signs of Salicylate toxicity include all of the following except:

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postoperative. Which of the following actions should the nurse take to help prevent an incisional infection?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse about causative risk factors for deep vein thrombosis (DVT). Which of the following should be included in the teaching? (Select All that Apply.)

Correct Answer is ["A","B","E"]

Explanation

A nurse is caring for a client during the immediate postoperative period following thoracic surgery. When administering an opioid analgesic for pain, the nurse should explain that the medication should have which of the following effects?

A nurse is assisting in providing care for a client who has obstructive shock. Which of the following diagnoses should the nurse expect?

A nurse is assisting with teaching a newly licensed nurse about anesthesia. The nurse should include that an epidural is an example of which of the following types of anesthesia?

A nurse and a newly licensed nurse are providing care for a client who has distributive shock. How should the nurse explain the pathophysiology of distributive shock to the newly licensed nurse?

A nurse is caring for a client who requests pain medication. Which of the following actions should the nurse perform first?

A nurse is reinforcing teaching about how to use an incentive spirometer with a client. Which of the following statements should the nurse make?

A nurse is assisting in providing care for a client who has multiple organ dysfunction syndrome (MODS). Which of the following actions is the priority when planning care for this client?

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?