Question

A client who has been taking high doses of acetylsalicylic acid (ASA, or aspirin) to relieve pain from osteoarthritis now has more generalized joint pain and an elevated temperature. The nurse should assess for which complication to determine whether the client has other signs of aspirin toxicity?

1. Diarrhea
2. Constipation
3. Double vision
4. Ringing in the ears

Answer 1

The nurse should assess the client who has been taking high doses of acetylsalicylic acid for ringing in the ears, as this is an indication of aspirin toxicity. Other signs to monitor include gastrointestinal issues and changes in mental status.

Step-by-step explanation:

A client who has been taking high doses of acetylsalicylic acid (ASA, or aspirin) to relieve pain from osteoarthritis is now experiencing more generalized joint pain and an elevated temperature. The nurse should assess for the complication of aspirin toxicity. Among the signs of aspirin toxicity, the nurse should specifically look for ringing in the ears (tinnitus), which is a classic symptom. Other symptoms of toxicity can include gastrointestinal bleeding, nausea, vomiting, and confusion. It is important to note that high doses of NSAIDs like aspirin can lead to serious side effects, such as stomach bleeding, especially in individuals who are over 60 or have a history of ulcer disease. Acetaminophen can be an alternative for its analgesic and antipyretic effect, but it has its own risks, such as severe liver damage in the case of an overdose.