Salicylic acid is prescribed for a client with a diagnosis of psoriasis. A nurse monitors the client, knowing that which of the following would indicate the presence of systemic toxicity from this medication?

Question

Question

Answer 1

Correct Answer: Tinnitus

Rationale:

Salicylic acid is a medication commonly used to treat psoriasis. However, it can cause systemic toxicity if absorbed in significant amounts.
Tinnitus, or ringing in the ears, is a common early sign of salicylate toxicity. It indicates that the medication has reached a level in the bloodstream that could potentially lead to more severe symptoms if not addressed.
Recognizing tinnitus as an early indicator allows for timely intervention to prevent further complications from salicylate toxicity.

Explanation of Other Options:

Decreased respirations

Rationale: Decreased respirations are not typically an early sign of salicylate toxicity. Respiratory effects might occur in severe cases but are not the first indicators.

Diarrhea

Rationale: Diarrhea is not commonly associated with salicylate toxicity. Gastrointestinal symptoms like nausea or vomiting might occur, but diarrhea is not a primary symptom.

Constipation

Rationale: Constipation is not related to salicylate toxicity. It is not a symptom or a side effect associated with salicylic acid use.

Conclusion:

Among the given options, tinnitus is the correct early indicator of systemic toxicity from salicylic acid. Recognizing this symptom is crucial for preventing more severe toxicity and managing the patient's condition effectively.