The older adult is receiving ethacrynic acid (Edecrin) and tells the nurse he doesn't hear as well as he used to. What is the best response by the nurse?
1. "You may be dehydrated; are you drinking enough fluid?"
2. "I will let your doctor know about this; it could be a side effect of your medication."
3. "How long have you been having difficulty hearing?"
4. "I will schedule a hearing exam; this could be a side effect of your medication."
2
Rationale 1: Ototoxicity is not related to dehydration.
Rationale 2: Loop diuretics are ototoxic. Instruct the patient to report ringing in the ears or becoming "hard of hearing" and notify the physician.
Rationale 3: Asking the patient about how long he has had the hearing loss is a good question, but the nurse must always report suspected side effects to the physician.
Rationale 4: It is inappropriate to schedule a hearing exam unless drug toxicity has been ruled out.
Global Rationale: Loop diuretics are ototoxic. Instruct the patient to report ringing in the ears or becoming "hard of hearing" and notify the physician. It is inappropriate to schedule a hearing exam unless drug toxicity has been ruled out. Asking the patient about how long he has had the hearing loss is a good question, but the nurse must always report suspected side effects to the physician. Ototoxicity is not related to dehydration.
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