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?
A.
Nervousness
B.
Tremors
C.
Dyspnea
D.
Headaches
The correct answer and Explanation is :
The correct answer is C. Dyspnea.
Explanation:
Terbutaline is a beta-adrenergic agonist primarily used for the management of preterm labor. It works by relaxing the smooth muscles of the uterus to prevent or delay contractions. Although it is effective, terbutaline comes with a range of potential side effects due to its action on beta-adrenergic receptors, particularly in the cardiovascular and respiratory systems.
- Nervousness (A) and tremors (B) are common side effects of terbutaline due to its stimulation of beta-2 adrenergic receptors, leading to sympathetic nervous system activation. These effects are generally mild and are not typically a cause for alarm unless they become severe or are accompanied by other concerning symptoms.
- Headaches (D) are also a common and expected side effect of terbutaline, often due to the vasodilatory effects and changes in blood pressure. While uncomfortable, headaches are usually not serious and don’t require immediate reporting unless they are severe or persistent.
- Dyspnea (C) or difficulty breathing, on the other hand, is a serious adverse effect that should be reported immediately. Terbutaline can cause pulmonary edema, a life-threatening complication that may manifest as dyspnea, chest pain, or hypoxia. Pulmonary edema can occur because beta-adrenergic stimulation leads to increased capillary permeability and fluid retention in the lungs. Additionally, terbutaline’s effects on heart rate and blood pressure can exacerbate cardiac stress, increasing the risk of cardiovascular complications like pulmonary edema.
When a client exhibits signs of respiratory distress such as dyspnea, cyanosis, or frothy sputum, it is critical that the nurse immediately report these symptoms to the healthcare provider. Early detection and intervention are crucial to managing these potentially life-threatening complications.