Which client is at highest risk for hearing loss?
a. Client with heart failure receiving digoxin (Lanoxin), 0.125 mg orally daily
b. Client with asthma receiving high-dose methylprednisolone (Solu-Medrol) therapy
c. Client with osteomyelitis receiving IV gentamicin (Garamycin)
d. Client with hyperkalemia being treated with intravenous glucose and insulin
C
Gentamicin is an aminoglycoside that can cause ototoxicity. Assessment of hearing should be done before and during therapy. Digoxin, methylprednisolone, and insulin do not put the client at risk for hearing loss.
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