A nurse is caring for a client who is in premature labor and is receiving terbutaline.The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Dyspnea.
Headaches.
Nervousness.
Tremors.
The Correct Answer is A
Choice A rationale
Dyspnea, or difficulty breathing, is a serious adverse effect of terbutaline that should be reported to the provider. Terbutaline can cause bronchospasm and pulmonary edema, leading to respiratory distress.
Choice B rationale
Headaches are a common side effect of terbutaline but are not considered a serious adverse effect that requires immediate reporting to the provider.
Choice C rationale
Nervousness is a common side effect of terbutaline and is usually mild. It does not require immediate reporting to the provider unless it becomes severe.
Choice D rationale
Tremors are a common side effect of terbutaline and are usually mild. They do not require immediate reporting to the provider unless they become severe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale: Initiating continuous electronic fetal monitoring is essential to assess the fetal heart rate and detect any signs of fetal distress. Given the history of decreased fetal movements, it's crucial to monitor the baby's condition closely.
Choice B rationale: Administering magnesium sulfate is recommended for neuroprotection in preterm deliveries, particularly for pregnancies less than 32-34 weeks gestation. It helps reduce the risk of cerebral palsy in preterm infants.
Choice C rationale: Performing a sterile speculum exam is unnecessary since the rupture of membranes has already been confirmed through the presence of amniotic fluid pooling and positive ferning test results.
Choice D rationale: Preparing the client for an emergency C-section is not immediately necessary unless there are signs of fetal distress or other complications. The priority is to stabilize the client's condition and monitor both the mother and the baby.
Choice E rationale: Monitoring for signs of chorioamnionitis is crucial since the client presents with ruptured membranes. Chorioamnionitis is a potential infection that can occur with prolonged rupture of membranes, which can lead to maternal and fetal complications. Monitoring includes assessing for fever, uterine tenderness, and foul-smelling amniotic fluid.
Correct Answer is D
Explanation
Choice A rationale
Administering epinephrine before the procedure is not standard practice to prevent hypotension associated with epidurals. Epinephrine is used in emergency situations to treat severe allergic reactions or cardiac arrest, not for preventing epidural-induced hypotension.
Choice B rationale
Positioning the client on her back prior to the procedure is not recommended, as it can exacerbate hypotension due to compression of the inferior vena cava by the gravid uterus. This position can decrease venous return to the heart and reduce cardiac output.
Choice C rationale
Having the patient eat a carbohydrate snack prior to the procedure is not a standard intervention to prevent hypotension during an epidural. Dietary intake does not directly prevent the vasodilatory effects of the epidural anesthesia.
Choice D rationale
Administering a bolus of 0.9% Normal saline IV fluid before the procedure is the correct intervention to prevent hypotension. Preloading with IV fluids increases intravascular volume, counteracting the vasodilation and potential drop in blood pressure caused by the epidural anesthesia. .
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