An older adult reports ringing in the ears while the nurse is administering a dose of ethacrynic acid (Edecrin) intravenously. Which intervention is the priority for the nurse?
1. Schedule a hearing test.
2. Stop infusion of the drug and notify the prescriber.
3. Question the client about recent history of hearing loss.
4. Review the client's fluid intake and assess fluid status.
Correct Answer: 2
Rationale 1: Drug toxicity must first be ruled out.
Rationale 2: Tinnitus can be an early sign of hearing loss as an adverse effect of potassium-sparing drugs, which is more common with IV administration of ethacrynic acid (Edecrin).
Rationale 3: Questioning the client about recent history of hearing loss is important but is not the priority intervention.
Rationale 4: Hearing loss is unrelated to dehydration.
Global Rationale: Tinnitus can be an early sign of hearing loss as an adverse effect of potassium-sparing drugs, which is more common with IV administration of ethacrynic acid (Edecrin). Drug toxicity must first be ruled out prior to scheduling a hearing screening. Questioning the client about recent history of hearing loss is important but is not the priority intervention. Hearing loss is unrelated to dehydration.
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