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?
Heart rate of 110/min
Blood pressure of 150/90 mm Hg
Blood glucose of 90 mg/dL
Temperature of 37°C (98.6°F)
The Correct Answer is B
Blood pressure of 150/90 mmHg. This is because terbutaline can cause elevated blood pressure as a side effect.
The nurse should report this finding to the provider as it may indicate hypertension or a hypertensive crisis.
Choice A is wrong because a heart rate of 110/min is not abnormal for a person who has received terbutaline. Terbutaline can cause fast or pounding heartbeats as a common side effect.
Choice C is wrong because a blood glucose of 90 mg/dL is within the normal range of 70-130 mg/dL before meals. Terbutaline can cause transient hyperglycemia (high blood sugar) as a serious side effect, but this is not the case here.
Choice D is wrong because a temperature of 37°C (98.6°F) is normal for a human being. Terbutaline does not cause fever or hypothermia as a side effect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E"]
Explanation
Magnesium sulfate IV infusion can cause various adverse effects such asflushing,headache,nauseaanddrowsiness.
These are common and expected side effects of this medication.
Choice A is wrong because magnesium sulfate IV infusion does not causediarrhea.Diarrhea is a possible side effect of oral magnesium sulfate, which is used as a laxative.
However, oral magnesium sulfate is not used to treat pre-term labor or prevent seizures.
Normal ranges of magnesium in the blood are 1.7 to 2.2 mg/dL for adults.
Magnesium sulfate IV infusion is used to treat hypomagnesemia (low levels of magnesium in the blood) or to prevent seizures in pregnant women with pre-eclampsia, eclampsia or toxemia.
Correct Answer is B
Explanation
Lying on one’s back with knees bent while using the monitor is not recommended for women at risk of preterm labor, as it can put pressure on the inferior vena cava, a major vein leading back to the heart.This can cause low blood pressure and reduce blood flow to the uterus and the baby.A better position is to lie on one’s side with a pillow at the back for support.
Choice A is correct because emptying the bladder before applying the monitor can reduce interference from urine contractions and make the readings more accurate.
Choice C is correct because pressing the event marker every time one feels a contraction can help record the frequency and duration of uterine activity.
Choice D is correct because using the monitor for at least 1 hour twice a day can provide sufficient data on uterine contractions and help detect early signs of preterm labor.
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