A client in labor who is receiving a continuous infusion of a local anesthetic through an epidural catheter asks if ear ringing is supposed to occur. What is the most likely cause of the client's complaint?
1. Dehydration
2. Hypotension
3. Allergic reaction
4. Local anesthetic toxicity
4
Explanation:
1. Sensation of ringing in the ears is not an allergic reaction.
2. Although maternal hypotension is associated with epidural anesthesia, a sensation of ringing in the ears is associated with local anesthetic toxicity.
3. Sensation of ringing in the ears is not associated with hydration status.
4. Sensation of ringing in the ears is associated with local anesthetic toxicity.
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