A nurse is caring for a client who is in premature labor and is receiving terbutaline.The nurse should monitor the client for which of the following adverse effects that should be reported to the provider?
Dyspnea.
Headaches.
Nervousness.
Tremors.
The Correct Answer is A
Choice A rationale
Dyspnea, or difficulty breathing, is a serious adverse effect of terbutaline that should be reported to the provider. Terbutaline can cause bronchospasm and pulmonary edema, leading to respiratory distress.
Choice B rationale
Headaches are a common side effect of terbutaline but are not considered a serious adverse effect that requires immediate reporting to the provider.
Choice C rationale
Nervousness is a common side effect of terbutaline and is usually mild. It does not require immediate reporting to the provider unless it becomes severe.
Choice D rationale
Tremors are a common side effect of terbutaline and are usually mild. They do not require immediate reporting to the provider unless they become severe.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A"}}
Explanation
A. Pain: Consistent with both urinary tract infection (UTI) and preterm labor. UTI can cause dysuria and pelvic pain, while preterm labor can present with lower abdominal pain or cramping.
B. Vaginal discharge: Consistent with both urinary tract infection and preterm labor. UTI can cause unusual vaginal discharge due to infection, while increased or unusual discharge can be a sign of preterm labor.
C. Temperature: Consistent with urinary tract infection. Fever is a common symptom of UTI due to infection. Preterm labor usually does not involve a fever unless there is an infection present.
Correct Answer is B
Explanation
Choice A rationale
Goodell's sign is the softening of the cervix, usually occurring around the fourth to sixth week of pregnancy. It indicates early pregnancy but does not relate to the symptoms described by the client.
Choice B rationale
Lightening refers to the baby settling deeper into the pelvis, which often occurs a few weeks before labor in first-time pregnancies. This shift can make breathing easier and increase pressure on the bladder, causing frequent urination and increased swelling in the lower extremities.
Choice C rationale
Hegar's sign is the softening of the lower uterine segment, typically seen around the sixth to eighth week of pregnancy. It is an early sign of pregnancy and not related to the symptoms experienced by the client near term.
Choice D rationale
Quickening is the term used to describe the first movements of the fetus felt by the mother, usually occurring around 16 to 20 weeks of pregnancy. This does not correlate with the symptoms described by the client who is near term.
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