A Patient with Refractory Congestive Heart Failure Has Been Receiving

question 29

Multiple Choice

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?

• A) Arrange for the patient to have his hearing tested with audiometry.
• B) Withhold the morning dose of furosemide,and notify the physician.
• C) Tell the patient that these symptoms are temporary and will subside when his condition improves.
• D) Add the nursing diagnosis of disturbed auditory sensory perception related to ototoxicity to the patient's care plan.

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