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?
Nervousness
Tremors
Dyspnea
Headaches
The Correct Answer is C
Choice A reason: Nervousness is a common and expected side effect of terbutaline, which is a beta-2 adrenergic agonist that stimulates the sympathetic nervous system and relaxes the uterine smooth muscle. The nurse does not need to report this finding to the provider, but can provide reassurance and comfort to the client.
Choice B reason: Tremors are also a common and expected side effect of terbutaline, as it causes increased muscle activity and shakiness. The nurse does not need to report this finding to the provider, but can monitor the client's vital signs and electrolyte levels, and advise the client to avoid caffeine and other stimulants.
Choice C reason: Dyspnea is an uncommon and serious side effect of terbutaline, as it can indicate pulmonary edema, which is a life-threatening condition where fluid accumulates in the lungs and impairs gas exchange. The nurse should report this finding to the provider immediately and prepare for interventions, such as oxygen therapy, diuretics, or discontinuation of terbutaline.
Choice D reason: Headaches are also a common and expected side effect of terbutaline, as it causes vasodilation and increased blood flow to the brain. The nurse does not need to report this finding to the provider, but can administer analgesics as prescribed, and encourage the client to rest and hydrate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.5"]
Explanation
To calculate the number of tablets, the nurse should use the following formula:
Number of tablets = (Desired dose / Available dose) x (Available form / Desired form)
In this case, the desired dose is 50 mg, the available dose is 100 mg, the available form is 1 tablet, and the desired form is 1 tablet. Therefore, the formula becomes:
Number of tablets = (50 mg / 100 mg) x (1 tablet / 1 tablet)
Number of tablets = 0.5 x 1
Number of tablets = 0.5
The nurse should round the answer to the nearest tenth, which is 0.5. The nurse should use a leading zero if the answer is less than 1, which is 0.5. The nurse should not use a trailing zero, which means 0.5 and not 0.50.
Correct Answer is B
Explanation
Choice A reason: Assisting the client with transferring to the gynecology unit is not the first action that the nurse should take, as it does not address the client's emotional needs or preferences. The nurse should first assess the client's coping and grieving process, and provide support and comfort.
Choice B reason: Offering the mother private time with the newborn is the first action that the nurse should take, as it can facilitate the bonding and closure process, and help the client express her feelings and emotions. The nurse should respect the client's wishes and cultural beliefs regarding the viewing and holding of the stillborn infant, and provide a quiet and private environment.
Choice C reason: Administering alprazolam 0.5 mg PO is not the first action that the nurse should take, as it is a pharmacological intervention that requires a prescription and an assessment of the client's condition and history. The nurse should first use nonpharmacological methods, such as active listening, therapeutic communication, and counseling, to help the client cope and manage her anxiety and grief.
Choice D reason: Contacting the health care facility's clergy is not the first action that the nurse should take, as it may not be appropriate or desired by the client. The nurse should first ask the client if she wants any spiritual or religious support, and respect her decision and beliefs.
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