A nurse is caring for a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse identify as a potential adverse effect of this medication?
Hot flashes
Heart palpitations
Shortness of breath
Bradycardia
The Correct Answer is B
A. Hot flashes: Hot flashes are not a typical adverse effect of terbutaline. Hot flashes are more commonly associated with hormonal changes, such as those that occur during menopause.
B. Heart palpitations: This is the correct answer. Terbutaline can stimulate beta-2 receptors in the heart, leading to increased heart rate and palpitations. Clients receiving terbutaline should be monitored for cardiac side effects.
C. Shortness of breath: While terbutaline is used to relax smooth muscles, it can also affect beta-2 receptors in the respiratory system. However, shortness of breath is not a common adverse effect and may indicate other respiratory issues.
D. Bradycardia: Bradycardia, or a slow heart rate, is not a typical adverse effect of terbutaline. The medication is more likely to increase heart rate due to its beta-2 adrenergic agonist properties.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.It is normal for a yellow exudate to form at the surgical site within 24 hours after a Plastibell circumcision.This is part of the healing process and should not be mistaken for an infection.
B.The Plastibell device is not removed manually.It typically falls off on its own within 7 to 10 days.
C.The diaper should be loose to avoid pressure on the circumcised area, which can cause discomfort and delay healing.
D.It is normal for the area around the Plastibell to darken as the tissue dies and the ring prepares to fall off.However, parents should notify the provider if there are signs of infection, excessive bleeding, or if the Plastibell does not fall off within the expected time frame.

Correct Answer is A
Explanation
A. Uterine tenderness is a common finding in endometritis. This inflammation of the endometrial lining can cause tenderness upon palpation of the uterus.
B. Temperature 37.4o C (99.3 F): Fever is a common symptom of endometritis. The body's response to infection often includes an elevated temperature.
C. WBC count 9000/mm3: In endometritis, there is typically an elevated white blood cell count as the body responds to the infection. A count of 9000/mm3 is within the normal range and may not be indicative of infection, making this choice less likely.
D. Scant lochia: Endometritis is associated with an increase in lochial flow rather than a decrease. Lochia may be increased in amount and foul-smelling in cases of endometritis. Scant lochia is more likely to be associated with other postpartum conditions but not necessarily endometritis.
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