Final answer:
The nurse should identify tinnitus as an indication of salicylism in a client taking aspirin for arthritis. Salicylism is caused by an accumulation of salicylate from prolonged aspirin usage, leading to various symptoms including hearing changes. Patients are advised to consult with their physician before starting regular aspirin use due to potential side effects.
Step-by-step explanation:
A nurse caring for a client who is taking aspirin for arthritis should identify tinnitus as an indication that the client is beginning to exhibit salicylism. Salicylism is a toxic condition that occurs when a person has an accumulation of salicylate, which is the active component of aspirin. The aforementioned aspirin is a type of non-steroidal anti-inflammatory drug (NSAID) used to reduce pain, fever, inflammation, and in higher doses to inhibit the formation of blood clots. Salicylism can lead to symptoms such as hearing changes (such as tinnitus), dizziness, headache, and excessive sweating, among others. Regular use of anti-inflammatory drugs like aspirin can lead to some undesirable consequences such as an increased risk of gastrointestinal ulcers and bleeds, kidney disease, and complications in heart attack and stroke. When considering a regimen that involves the regular intake of aspirin or similar anti-inflammatory medications, patients are advised to consult with their physician.