A client has just received Hemabate because of uterine atony, which was unable to be controlled by other medications. Which of the following side effects will you expect to see in this patient?
Difficulty breathing.
Diarrhea.
Hypotension.
Palpitations.
The Correct Answer is B
Choice A rationale
Difficulty breathing can indicate an anaphylactic reaction, a rare but serious side effect of Hemabate. It involves bronchoconstriction triggered by prostaglandin administration, usually necessitating emergency interventions.
Choice B rationale
Diarrhea is common due to prostaglandin's stimulation of smooth muscle in the gastrointestinal tract, leading to increased motility. This adverse effect often accompanies other systemic effects like cramping.
Choice C rationale
Hypotension, while possible, is less frequent and usually transient. It may result from the vasodilatory properties of prostaglandins but is not a primary side effect.
Choice D rationale
Palpitations occur less commonly and may arise if Hemabate induces systemic changes affecting heart rate, including reflex tachycardia secondary to other hemodynamic shifts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale
Providing family support is crucial as preterm birth can cause significant emotional distress. Education and involvement aid understanding of interventions and foster a supportive environment for both the neonate and family.
Choice B rationale
Strict handwashing and sterile technique prevent infection in preterm neonates, whose immature immune systems make them highly susceptible to sepsis, a leading cause of morbidity in NICUs.
Choice C rationale
Creating a womb-like state through dim lighting, limited noise, and careful positioning supports neurodevelopment and mimics the intrauterine environment, promoting growth and stability.
Choice D rationale
Frequent diaper changes may disturb thermoregulation and disrupt the neonate's limited energy reserves, as preterm infants require an environment that minimizes stress and conserves energy.
Correct Answer is A
Explanation
Choice A rationale
Surfactant reduces alveolar surface tension, improving lung compliance and facilitating gas exchange of oxygen and carbon dioxide, critical in addressing respiratory distress syndrome in premature infants.
Choice B rationale
Periodic apnea in premature infants is a neurological immaturity issue, not directly addressed by surfactant, which targets alveolar function in the lungs.
Choice C rationale
Surfactant does not possess antimicrobial properties; it functions to stabilize alveoli, not to combat respiratory infections.
Choice D rationale
Sedation requirements for infants are unrelated to surfactant therapy, which works mechanically in the lungs rather than through central nervous system effects.
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