A nurse is teaching a client about the signs of salicylate toxicity while taking aspirin therapy. Which client statement indicates an understanding of the teaching?

A. Tinnitus (ringing in the ears) is a classic early sign of salicylate toxicity. Other signs can include dizziness, headache, nausea, vomiting, and hyperventilation. Notifying the provider promptly is essential to prevent progression to more severe toxicity, which can cause metabolic acidosis, respiratory alkalosis, and potentially life-threatening complications. B. Ignoring side effects is unsafe. Aspirin toxicity can escalate rapidly, and early recognition and intervention are critical. Side effects such as gastrointestinal bleeding, tinnitus, or altered mental status should never be ignored. C. Aspirin toxicity usually causes hyperventilation (increased respiratory rate) rather than slowed breathing, as the body attempts to compensate for metabolic acidosis caused by salicylate accumulation. D. Constipation is not a common manifestation of aspirin toxicity. Gastrointestinal effects from aspirin typically include dyspepsia, nausea, vomiting, and gastrointestinal bleeding, not constipation. Increasing fiber intake would not address salicylate toxicity symptoms.