A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's blood glucose. The nurse should identify this finding as an adverse effect of which of the following medications?

Rationale:

• Obtain daily weights: Daily weights are used to monitor fluid balance in conditions like preeclampsia or heart failure. In this acute preterm labor scenario, the priority is monitoring fetal well-being and uterine activity, not long-term fluid shifts.

• Administer terbutaline: Terbutaline is a tocolytic medication used to suppress preterm labor by relaxing uterine smooth muscle. Given the client’s regular, strong contractions at 33 weeks with cervical changes, terbutaline may be prescribed to delay labor and allow fetal maturation.

• Administer oxytocin: Oxytocin stimulates uterine contractions and is used to induce or augment labor. In a client experiencing preterm labor at 33 weeks, oxytocin is contraindicated because it could worsen labor progression and increase risk of preterm birth.

• Administer betamethasone: Betamethasone is a corticosteroid administered to accelerate fetal lung maturity when preterm birth is imminent. Since the client is 33 weeks gestation and showing signs of preterm labor, administration is anticipated to reduce neonatal respiratory complications.

• Maintain modified bed rest with bathroom privileges: Modified bed rest can help reduce uterine stimulation, conserve energy, and support uteroplacental perfusion in clients experiencing preterm labor. Limiting physical activity is a standard intervention for preterm labor management.

A. A client who is bedridden and wears a hearing aid: While immobile clients require assistance during evacuation, hearing loss does not inherently increase immediate risk in a fire scenario. Evacuation priority is based on threat to life, not sensory impairment alone.

B. A client who is ambulatory and receiving oxygen: Oxygen therapy increases the risk of rapid combustion in a fire. An ambulatory client on supplemental oxygen poses the greatest immediate danger and should be evacuated first to prevent serious injury or death from fire or explosion.

C. A client who has a fracture and is in balanced suspension traction: Clients in traction are immobile and require additional assistance for safe evacuation, but they do not present the highest immediate risk compared with a client on oxygen near a fire.

D. A client who uses a wheelchair and is confused: Confusion can complicate evacuation and requires supervision, but oxygen exposure in a fire presents a more imminent threat, making this client a lower priority than the client receiving oxygen.