A nurse is caring for a client who is postpartum and has inverted nipples. Which of the following actions should the nurse take?

A. Nausea is a common side effect of terbutaline but does not typically require urgent reporting. It can be managed with supportive care or adjustments in therapy.
B. Crackles in the lungs are a serious side effect of terbutaline, which can cause pulmonary edema due to fluid retention. This finding indicates a potential adverse reaction that must be reported to the provider for further evaluation and management.
C. Dizziness can occur with terbutaline use but is not as immediately concerning as other potential side effects. It may be managed by adjusting the dose or monitoring the client.
D. Tremors are a common and less severe side effect of terbutaline, typically caused by its beta-adrenergic effects. While they are uncomfortable, they are not an immediate concern compared to more severe reactions.

- Rationale for A: Aspirin is an antiplatelet agent and can increase the risk of bleeding, especially when combined with warfarin, an anticoagulant. Therefore, taking aspirin for leg discomfort is not recommended as it can exacerbate bleeding risks.
- Rationale for B: Oral contraceptives can interfere with the effectiveness of warfarin and increase the risk of thrombotic events. Women taking warfarin, especially in the postpartum period, should avoid oral contraceptives due to the potential for increased blood clotting.
- Rationale for C: The duration of warfarin therapy for deep-vein thrombosis is typically longer than 2 weeks. It is determined by the physician based on the extent of the clot and the patient's response to the medication.
- Rationale for D: Using a disposable razor can help minimize the risk of cuts and subsequent bleeding, which is a concern when taking anticoagulants like warfarin. It is a safer alternative to other shaving methods that may cause skin abrasions.