A nurse is caring for an older adult client in the outpatient clinic. A nurse is reviewing a client's medical record. Select the 3 findings that place the client at risk for hearing impairment.
Explanation & Rationale
Choice A rationale: Osteoarthritis affects joints and cartilage, not auditory structures, and does not contribute to sensorineural hearing loss or tinnitus development. Choice B rationale: Occupation with prolonged loud machinery exposure causes noise-induced sensorineural hearing loss by damaging cochlear hair cells, increasing risk for progressive auditory impairment. Choice C rationale: Furosemide, a loop diuretic, is ototoxic at higher doses, impairing cochlear function and contributing to sensorineural hearing loss and tinnitus in susceptible individuals. Choice D rationale: Hyperlipidemia affects vascular health but does not directly damage auditory pathways or cochlear hair cells, making it unrelated to sensorineural hearing loss risk. Choice E rationale: Naproxen, a nonsteroidal anti-inflammatory drug, can cause ototoxicity, leading to tinnitus and sensorineural hearing loss through cochlear hair cell dysfunction. Choice F rationale: Lovastatin lowers cholesterol and does not impair auditory function or cochlear hair cells, making it unrelated to hearing impairment risk.