A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin.

Which of the following findings should the nurse monitor for as a potential complication of the medication?

Decreased platelet count

Increased serum creatinine

Decreased hematocrit

Increased serum potassium

Answer and Explanation

The Correct Answer is B

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can cause renal impairment and elevated serum creatinine levels in both the mother and the fetus. This can lead to oligohydramnios, reduced fetal urine output, and fetal renal failure.

Therefore, the nurse should monitor the serum creatinine levels of the client and the fetus as a potential complication of indomethacin.

Choice A is wrong because indomethacin does not affect the platelet count. It may increase the risk of bleeding due to its antiplatelet effect, but it does not cause thrombocytopenia.

Choice C is wrong because indomethacin does not cause anemia or decrease the hematocrit. It may cause gastrointestinal bleeding or ulceration, which could lead to anemia, but this is not a common or direct effect of the medication.

Choice D is wrong because indomethacin does not cause hyperkalemia or increase the serum potassium levels. It may cause hyponatremia due to its effect on renal sodium excretion, but it does not affect potassium balance.

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Correct Answer is D

Explanation

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.

A. “This medication will help prevent seizures in case I develop preeclampsia.” B. “This medication will help mature my baby’s lungs in case he is born early.” C. “This medication will help relax my uterus and stop contractions.” D. “This medication will help lower my blood pressure in case it gets too high.”

Correct Answer is C

Explanation

This medication will help relax my uterus and stop contractions.

Magnesium sulfate is a tocolytic, a medication used to suppress uterine contractions and delay preterm delivery.The exact mechanism through which magnesium sulfate inhibits contractions is unknown, but researchers believe it likely works by lowering calcium levels in the uterine muscles.

Choice A is wrong because magnesium sulfate is not used to prevent seizures in case of preeclampsia.

Preeclampsia is a condition characterized by high blood pressure and protein in the urine during pregnancy.Magnesium sulfate may be used to treat seizures if they occur with eclampsia, which is a severe complication of preeclampsia.

Choice B is wrong because magnesium sulfate does not help mature the baby’s lungs in case of preterm birth.

Magnesium sulfate may have some neuroprotective effects for the baby, but it does not affect lung development.Steroids are usually given to pregnant women at risk of preterm delivery to help accelerate fetal lung maturation.

Choice D is wrong because magnesium sulfate does not lower blood pressure in case it gets too high.

Magnesium sulfate may have some vasodilatory effects, but it is not used as an antihypertensive agent.Other medications, such as hydralazine or labetalol, are used to treat high blood pressure during pregnancy.

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A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin. Which of the following findings should the nurse monitor for as a potential complication of the medication?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

A nurse is teaching a client who is at 25 weeks of gestation and has pre-term labor about the purpose and side effects of magnesium sulfate therapy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is assessing a client who is in pre-term labor and has received one dose of terbutaline subcutaneously. Which of the following findings should the nurse report to the provider?

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A nurse is assessing a pre-term newborn who was born at 28 weeks of gestation. Which of the following findings indicates a possible diagnosis of respiratory distress syndrome (RDS)?

A nurse is caring for a client who is experiencing pre-term labor at 32 weeks of gestation and has been prescribed betamethasone. Which of the following outcomes should the nurse expect from this medication?

A nurse is administering terbutaline to a client who is at 31 weeks of gestation and has pre-term labor. Which of the following findings should the nurse monitor as an adverse effect of this medication?

A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA). Which of the following medications should the nurse expect to administer to close the ductus arteriosus?

A nurse is preparing to administer betamethasone (Celestone) to a client who is at 31 weeks of gestation and has pre-term labor. What is the purpose of this medication?

A nurse is administering betamethasone to a client who is at risk for pre-term labor at 30 weeks of gestation. Which of the following outcomes should the nurse monitor for in the newborn?

A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin.

Which of the following findings should the nurse monitor for as a potential complication of the medication?