Comprehensive Study 1 Up to Date Content
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and Inflammation Test Latest
Questions and Graded Answers
Click to highlight the findings that require immediate follow-
up with the provider. To deselect a finding, click on the
finding again.
Nurses' Notes
1500:
Client transported to emergency department via ambulance.
Client's partner is present and reports that client became
increasingly drowsy, confused, and walking unsteadily over
the past 24 hr.
History of heart failure and rheumatoid arthritis. Home
medications: lisinopril and aspirin.
Client reports headache, ringing in ears, and feeling dizzy.
Client oriented to person. Lethargic, diaphoretic, and
vomiting.
1530:
Client is obtunded. Difficult to awake and client's speech is
mumbled.
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Vital Signs
1530:
Temperature 39.1° C (102.3° F)
Heart rate 116/min
Respiratory rate 34/min
Blood pressure 100/60 mm Hg
Oxygen saturation 93% on room air
Ans: Aspirin, headache, ringing in ears, feeling diy,
diaphoretic, obtunded, temperature 39.1° C (102.3°
F), respiratory rate 34/min, and oxygen saturation of
93% on room air.
Rational:
These findings are associated with salicylism, which requires
immediate intervention and therefore are priority findings.
Salicylism is a syndrome that occurs when a client takes too
much aspirin, either acutely (overdose) or with chronic use.
With elevated aspirin blood levels, a client can have
manifestations of tinnitus (ringing in ears), sweating,
headache, and dizziness. If immediate actions are not taken,
acid-base imbalance occurs. Excess aspirin affects the CNS
and increases respiratory rate, leading to an increase loss in
carbon dioxide when exhaling faster. This in turn can
produce respiratory alkalosis. The client has manifestations
of respiratory alkalosis which are increased heart rate, low
blood pressure, and increased respiratory rate.zz
Up to Date Content
Pharmacology Made Easy 5.0 Pain
and Inflammation Test Latest
Questions and Graded Answers
Click to highlight the findings that require immediate follow-
up with the provider. To deselect a finding, click on the
finding again.
Nurses' Notes
1500:
Client transported to emergency department via ambulance.
Client's partner is present and reports that client became
increasingly drowsy, confused, and walking unsteadily over
the past 24 hr.
History of heart failure and rheumatoid arthritis. Home
medications: lisinopril and aspirin.
Client reports headache, ringing in ears, and feeling dizzy.
Client oriented to person. Lethargic, diaphoretic, and
vomiting.
1530:
Client is obtunded. Difficult to awake and client's speech is
mumbled.
Up to Date Content
, Comprehensive Study 2 Up to Date Content
Vital Signs
1530:
Temperature 39.1° C (102.3° F)
Heart rate 116/min
Respiratory rate 34/min
Blood pressure 100/60 mm Hg
Oxygen saturation 93% on room air
Ans: Aspirin, headache, ringing in ears, feeling diy,
diaphoretic, obtunded, temperature 39.1° C (102.3°
F), respiratory rate 34/min, and oxygen saturation of
93% on room air.
Rational:
These findings are associated with salicylism, which requires
immediate intervention and therefore are priority findings.
Salicylism is a syndrome that occurs when a client takes too
much aspirin, either acutely (overdose) or with chronic use.
With elevated aspirin blood levels, a client can have
manifestations of tinnitus (ringing in ears), sweating,
headache, and dizziness. If immediate actions are not taken,
acid-base imbalance occurs. Excess aspirin affects the CNS
and increases respiratory rate, leading to an increase loss in
carbon dioxide when exhaling faster. This in turn can
produce respiratory alkalosis. The client has manifestations
of respiratory alkalosis which are increased heart rate, low
blood pressure, and increased respiratory rate.zz
Up to Date Content
