A client receiving vancomycin should be assessed for which symptom before the next dose?

A client receiving vancomycin should be assessed for which symptom before the next dose?

• A. Headache
• B. Not had a bowel movement in 2 days
• C. Drowsy
• D. I can't hear the television

Answer: (D)

Ototoxicity is a known risk with vancomycin, meaning it can damage the inner ear and cause hearing changes, tinnitus, or balance problems. Because this toxicity can progress with continued exposure, it’s important to assess auditory function before giving the next dose. A symptom like not being able to hear the television signals potential ototoxicity and requires prompt evaluation, possible hold of the next dose, and a check of trough levels and renal function. Other symptoms such as headache, constipation, or drowsiness are less specific to vancomycin’s serious toxic effects and don’t prompt the same urgent assessment. Early detection of hearing changes helps prevent progression and guides management, including dose adjustments or alternative therapy if needed.

Ototoxicity is a known risk with vancomycin, meaning it can damage the inner ear and cause hearing changes, tinnitus, or balance problems. Because this toxicity can progress with continued exposure, it’s important to assess auditory function before giving the next dose. A symptom like not being able to hear the television signals potential ototoxicity and requires prompt evaluation, possible hold of the next dose, and a check of trough levels and renal function. Other symptoms such as headache, constipation, or drowsiness are less specific to vancomycin’s serious toxic effects and don’t prompt the same urgent assessment. Early detection of hearing changes helps prevent progression and guides management, including dose adjustments or alternative therapy if needed.