The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at the highest risk for this type of hearing deficit?
1. a patient with methicillin-resistant Staphylococcus aureus (MRSA) on high doses of vancomycin (Vancocin))
2. the patient on low-dose aspirin to prevent stroke
3. a patient on steroids (Prednisone) for chronic spondylolisthesis
4. the patient using atorvastatin (Lipitor) to prevent heart disease and stroke
Correct Answer: 1
Ototoxic drugs damage the hair cells of the organ of Corti resulting in sensorineural hearing loss. Ototoxic drugs include vancomycin (Vancocin). A patient taking low-dose aspirin is at a lesser risk than a patient taking high doses of vancomycin. Steroids and atorvastatin are not ototoxic.
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