What should the nurse do when an 88-year-old client on high dose aspirin therapy reports ringing in her ears?

• A. Refer the client to an audiologist for evaluation of her hearing.
• B. Advise the client that this is a common side effect of aspirin therapy.
• C. Notify the healthcare provider of this finding immediately.
• D. Ask the client to turn off her hearing aid during the exam.

Answer: (C)

When an 88-year-old client on high-dose aspirin therapy reports ringing in her ears, it is crucial for the nurse to notify the healthcare provider immediately. This symptom, known as tinnitus, can indicate salicylate toxicity, which may arise from high doses of aspirin. Given the client's age and medication regimen, the potential for adverse effects increases. Early intervention is essential, as prolonged exposure to high aspirin levels can lead to more severe complications, including hearing loss or other systemic responses.

Prompt communication with the healthcare provider allows for a timely assessment and intervention, which may include adjusting the client’s medication or monitoring for further signs of toxicity. Addressing the issue immediately maximizes patient safety and ensures appropriate management of the client’s condition.