Question

While receiving betamimetic (tocolytic) therapy for preterm labor the client begins to have muscle tremors and signs of nervousness. The client states, My heart is racing. The nurse identifies that the client's pulse rate is 110 beats per minute and regular. What should the nurse do next?

A. Discontinue the medication as per protocol
B. Notify the practitioner that preterm labor has restarted
C. Obtain the client's laboratory results for electrolyte levels
D. Reassure the client that these are expected side effects of the medication

Answer 1

The nurse should discontinue the medication as per protocol. Symptoms described by the client indicate a possible adverse reaction to the betamimetic therapy.

Step-by-step explanation:

The nurse should discontinue the medication as per protocol. The symptoms described by the client, including muscle tremors, signs of nervousness, and a racing heart, indicate a possible adverse reaction to the betamimetic (tocolytic) therapy. Discontinuing the medication is necessary to ensure the client's safety and prevent further complications.

It is important to note that a high heart rate (>100 beats per minute) and symptoms of nervousness are not expected side effects of betamimetic therapy. Therefore, option D, reassuring the client that these are expected side effects of the medication, is not appropriate.