A nurse is monitoring a client who is receiving terbutaline for pre-term labor.
Which of the following findings should the nurse report to the provider as a potential adverse effect of the medication?
Tachycardia
Hypotension
Hyperglycemia
Hypokalemia
The Correct Answer is D
Terbutaline can cause low potassium levels in the blood, which can lead to muscle weakness, cramps, and cardiac arrhythmias.
This is a potential adverse effect of the medication that should be reported to the provider.
Choice A is wrong because tachycardia is a common side effect of terbutaline that does not usually require medical attention.
Terbutaline works by stimulating beta-adrenergic receptors, which can increase the heart rate.
Choice B is wrong because hypotension is not a typical side effect of terbutaline. Terbutaline can actually cause elevated blood pressure in some cases.
Choice C is wrong because hyperglycemia is not a common side effect of terbutaline. Terbutaline can cause transient hyperglycemia in pregnant women, but this is not a reason to stop the medication.
Normal ranges for potassium are 3.5-5.0 mEq/L and for blood glucose are 70-110 mg/dL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Encouraging the parents to touch and talk to the infant through the incubator ports can promote bonding between the infant and the parents.Bonding is the intense attachment that develops between parents and their baby, and it is essential for the baby’s social and cognitive development.Touch and communication are some of the ways that babies bond with their parents.
Choice B is wrong because limiting the parents’ visitation time can disrupt the bonding process and make the parents feel less involved in their baby’s care.
Choice C is wrong because eye contact is another way of bonding with babies, and it can help them feel secure and loved.
Choice D is wrong because holding and feeding the infant are also important ways of bonding, and they should not be restricted unless medically necessary.
Correct Answer is A
Explanation
Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm labor to improve neonatal outcomes.Betamethasone stimulates the production of surfactant, a substance that lubricates the lungs and prevents them from collapsing after birth.This reduces the risk of respiratory distress syndrome, a common complication of preterm birth.
Choice B is wrong because betamethasone does not decrease the risk of infection in the newborn.In fact, it may increase the risk of maternal and neonatal infections by suppressing the immune system.
Choice C is wrong because betamethasone does not increase blood glucose levels in the newborn.However, it may cause transient hyperglycemia in the mother, which should be monitored and treated if necessary.
Choice D is wrong because betamethasone does not decrease the risk of bleeding in the newborn.It may increase the risk of intraventricular hemorrhage, a type of bleeding in the brain, if given before 24 weeks of gestation.Therefore, it should be used with caution in this population and only after a family’s decision regarding resuscitation.
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