When taking a health history, the nurse asks a patient about taking over-the-counter medications. The patient reports taking large doses of aspirin to relieve daily headaches
This comment should alert the nurse to further assess the patient's hearing for which reason? 1. The headaches are probably caused by a hearing disorder.
2. Aspirin can be ototoxic.
3. Most headaches are caused by disorders of the inner ear.
4. The patient is trying to treat a serious condition without medical intervention.
2
Rationale 1: It would be unusual for headaches to be the direct result of hearing loss.
Rationale 2: Some medications, including salicylates (aspirin), are ototoxic. They can cause permanent sensorineural hearing loss by damaging the nerves in the inner ear.
Rationale 3: Headaches occur for a variety of reasons, and most are not related to inner ear disorders.
Rationale 4: The relevant information is the "large doses of aspirin" being taken. It is true that the patient needs medical care, but this is not the reason it is important to assess hearing.
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