A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching?
A.
“I will get injections of the medication once daily until my labor stops.”
B.
“My blood sugar may be low while I’m on this medication.”
C.
“I will have blood tests because my potassium might decrease.”
D.
“My blood pressure may increase while I’m on this medication.”
The Correct answer and Explanation is:
The correct answer is D. “My blood pressure may increase while I’m on this medication.”
Explanation:
Terbutaline is a beta-adrenergic agonist commonly used to manage preterm labor by relaxing the uterine muscles and decreasing uterine contractions. Understanding the potential side effects of terbutaline is crucial for clients receiving this treatment.
Option A is incorrect because terbutaline is not typically administered as a once-daily injection; it may be given as a continuous infusion or multiple injections depending on the clinical situation and the healthcare provider’s orders.
Option B is misleading. While terbutaline can cause hyperglycemia (high blood sugar), it is not typically associated with low blood sugar. This is an important distinction, as clients with diabetes need to be vigilant about monitoring their blood sugar levels when taking terbutaline.
Option C addresses potassium levels, which can be affected by terbutaline; however, the primary concern is actually related to the potential for hypokalemia (low potassium), which is less common. While monitoring potassium levels might be warranted in some cases, it is not as universally emphasized as monitoring blood pressure.
Option D accurately reflects a known side effect of terbutaline. As a beta-agonist, terbutaline can stimulate beta-adrenergic receptors, leading to increased heart rate and potentially elevated blood pressure. Clients should be educated about the importance of monitoring their blood pressure while on this medication, as this will help them recognize any adverse effects early and prompt timely communication with their healthcare provider.
In conclusion, understanding the side effects of terbutaline, particularly regarding blood pressure management, is critical for ensuring safe and effective treatment during preterm labor. Clients should be encouraged to report any significant changes in their blood pressure or other symptoms to their healthcare team.