The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur?

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Question 1 of 5

The provider has ordered daily high doses of aspirin for a client with rheumatoid arthritis. The nurse instructs the client to discontinue the medication and contact the provider if which of the following symptoms occur?

Correct Answer: D

Rationale: Tinnitus is an early sign of aspirin toxicity, requiring immediate cessation.

Question 2 of 5

A 36 year-old female client has a hemoglobin level of 14 g/dl and a hematocrit of 42% following a D&C. Which of the following would the nurse expect to find when assessing this client?

Correct Answer: A

Rationale: Normal Hgb (12-16 g/dl) and Hct (36-48%) suggest no significant blood loss; brisk capillary refill is expected.

Question 3 of 5

The nurse is caring for a client with end-stage heart failure. The family members are distressed about the client's impending death. What action should the nurse do first?

Correct Answer: C

Rationale: Assessing coping patterns informs tailored support, making it the priority step.

Question 4 of 5

An adolescent client is admitted in respiratory alkalosis following aspirin overdose. The nurse recognizes that this imbalance was caused by

Correct Answer: A

Rationale: Aspirin overdose stimulates hyperventilation (tachypnea), leading to CO2 loss and respiratory alkalosis.

Question 5 of 5

The nurse is assessing a newborn delivered at home by a client addicted to heroin. Which of the following would the nurse expect to observe?

Correct Answer: D

Rationale: Neonatal abstinence syndrome from heroin includes jitteriness peaking 24-48 hours post-delivery.

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