Question

the nurse is assessing the effectiveness of high dose aspirin therapy for an older client with arthritis. the client reports hearing non - stop ringing in the ears. which action should the nurse implement?

a advise the client that this is a common side effect.

b face the client directly and speak in a low, monotone voice.

c refer the client to an audiologist for evaluation of her hearing.

d notify the healthcare provider of the finding immediately.

Explanation:

The client is experiencing tinnitus (ringing in the ears) while on high-dose aspirin therapy. This is a sign of salicylate toxicity, not a common mild side effect. The nurse must immediately alert the prescribing healthcare provider to adjust or discontinue the therapy to prevent permanent hearing loss or further severe toxicity. Option A is incorrect because this is a toxic effect, not a common side effect. Option B is an inappropriate communication technique for this clinical situation. Option C is not the priority initial action; notifying the provider first is critical.

Answer:

D Notify the healthcare provider of the finding immediately.