Which patient assessment would indicate to the nurse that salicylate toxicity is occurring?
a. Gastrointestinal (GI) bleeding
b. Increased bleeding times
c. Tinnitus
d. Occasional nausea
ANS: C
Symptoms of salicylism include ringing in the ears (tinnitus), impaired hearing, dimming of vision, sweating, fever, lethargy, dizziness, mental confusion, nausea, and vomiting. Although salicylates may cause GI bleeding over time, it is not a symptom associated with toxicity. Increased bleeding time is an effect associated with the treatment of clots. Occasional nausea is a common adverse effect of treatment with salicylates; it is not a sign of toxicity.
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