A client,hospitalized with heart failure,is receiving digoxin (Lanoxin) and furosemide (Lasix) intravenously and now has continuous ringing in the ears.What is the appropriate action for the nurse to take at this time?
1.Obtain a digoxin level to check for toxicity.
2.Note the observation in the chart and plan to reassess in 2 hours.
3.Ask the client about taking aspirin in addition to other medications.
4.Discontinue the furosemide and notify the physician.
The nurse should recognize the ringing in the ears,or tinnitus,as a sign of ototoxicity probably caused by the furosemide.The appropriate action is for the nurse to stop the furosemide and notify the physician.
If the drug is stopped soon enough,permanent hearing loss can be avoided,and the tinnitus should subside.The nurse should note the observation in the chart but should not delay action.Tinnitus is not a symptom of digoxin (Lanoxin) toxicity.
Aspirin can cause tinnitus,but the nurse should first investigate the obvious cause of tinnitus,which in this case is the furosemide.
CN:Pharmacological and parenteral therapies;CL:Synthesize