Which of the nurse's assessment findings will require collaboration with the client's primary health care provider? (Select all that apply.)
a. Purulent drainage from the ear canal
b. Hearing loss with nausea and vertigo
c. Ringing in the ears after attending a loud rock concert
d. Presence of cerumen blocking 50% of the ear canal
e. Increasing hearing loss since starting fu-rosemide (Lasix)
f. Temperature of 101.7° F following a sta-pedectomy 3 days ago
A, B, E, F
Purulent drainage in the ear canal indicates a middle ear infection with a ruptured tympanic membrane. Hearing loss with vertigo and nausea indicates labyrinthitis. Furosemide is ototoxic. Fever following stapedectomy is most likely caused by infection inside the ear. Ringing in the ears following exposure to loud noise is a common symptom, which should resolve sponta-neously. Nonimpacted cerumen may be left alone if it is not impairing the client's hearing.
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