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A nurse is caring for a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse identify as a potential adverse effect of this medication?

A.

Hot flashes

B.

Heart palpitations

C.

Shortness of breath

D.

Bradycardia

Answer and Explanation

The Correct Answer is B

A. Hot flashes: Hot flashes are not a typical adverse effect of terbutaline. Hot flashes are more commonly associated with hormonal changes, such as those that occur during menopause.

B. Heart palpitations: This is the correct answer. Terbutaline can stimulate beta-2 receptors in the heart, leading to increased heart rate and palpitations. Clients receiving terbutaline should be monitored for cardiac side effects.

C. Shortness of breath: While terbutaline is used to relax smooth muscles, it can also affect beta-2 receptors in the respiratory system. However, shortness of breath is not a common adverse effect and may indicate other respiratory issues.

D. Bradycardia: Bradycardia, or a slow heart rate, is not a typical adverse effect of terbutaline. The medication is more likely to increase heart rate due to its beta-2 adrenergic agonist properties.


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Related Questions

Correct Answer is C

Explanation

A. Intense contractions lasting 45 to 60 seconds: Intense contractions within a normal duration are typical during the active phase of labor. This finding does not necessarily warrant immediate reassessment but rather ongoing monitoring.

B. A sense of excitement and warm, flushed skin: A sense of excitement and warm, flushed skin may be associated with the transition phase of labor and is not necessarily a cause for immediate concern.

C. An urge to have a bowel movement during contractions: This is the correct answer. The urge to have a bowel movement may indicate fetal descent and the need to assess for full cervical dilation. It could signal the need for imminent delivery, and the nurse should promptly assess the client's cervix and notify the healthcare provider.

D. Progressive sacral discomfort during contractions: Discomfort, including sacral discomfort, is common during labor. Progressive sacral discomfort may be associated with the normal progression of labor and is not a reason for immediate reassessment.

Correct Answer is {"A":{"answers":"C"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

a. Muscle tone: flaccid Interpretation: This finding suggests a lack of muscle tone, which could be concerning. It may indicate a neurological issue or possible birth trauma. Interpretation: Indication that the client's condition is worsening. b. Respiration effort: good cry Interpretation: A good cry indicates that the newborn is able to breathe properly and is responsive. Interpretation: Indication that the client's condition is improving. c. Reflex irritability: cry Interpretation: The newborn's ability to cry in response to stimuli is a positive sign of reflex irritability and neurological function. Interpretation: Indication that the client's condition is improving. d. Color consistent with genetic background Interpretation: This suggests that the newborn's skin color is within the range typical for their genetic background. Interpretation: Unrelated to the diagnosis. e. Heart rate 140/min Interpretation: A heart rate of 140 beats per minute is within the normal range for a newborn. Interpretation: Unrelated to the diagnosis. f. Axillary temperature 36.3°C (97.4°F) Interpretation: A temperature of 36.3°C (97.4°F) is within the normal range for a newborn. Interpretation: Unrelated to the diagnosis.

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