A nurse is teaching a group of young adult clients about risk factors for hearing loss. Which of the following factors should the nurse include in the teaching? (Select all that apply.)

A. Being born with a high birth weight is not associated with hearing loss. In contrast, low birth weight is a known risk factor. B. Frequent exposure to low-volume noise is unlikely to cause hearing damage. It is high-volume or prolonged loud noise exposure that increases the risk of hearing loss. C. Loop diuretics (e.g., furosemide) are ototoxic, especially when given in high doses or rapidly by IV, and can lead to hearing loss. D. Chronic middle ear infections (otitis media) can damage the structures of the ear and lead to conductive hearing loss, making this a valid risk factor.