A patient with refractory congestive heart failure has been receiving large doses of intravenous furosemide (Lasix)and oral spironolactone (Aldactone)for 5 days.One morning,the patient tells the nurse he has ringing in his ears and does not seem to hear very well.What is the most appropriate nursing action?

Question

Quizplus · Accepted Answer

Ringing in the ears (tinnitus) and hearing loss are common symptoms of ototoxicity, which is a potential adverse effect of furosemide. Withholding the morning dose of furosemide and notifying the physician is the most appropriate nursing action. Audiometry testing may be ordered by the physician if necessary but withholding the medication is the priority. Telling the patient that these symptoms are temporary is not accurate since they could be permanent if not addressed promptly. Adding the diagnosis of disturbed auditory sensory perception related to ototoxicity to the patient's care plan may be appropriate, but the priority at this time is to withhold the medication and notify the physician.

A Patient with Refractory Congestive Heart Failure Has Been Receiving