Question

The nurse is assessing a pregnant client who has just received terbutaline for preterm labor. Which statement by the client would indicate to the nurse the client is experiencing an adverse effect of the medication?

"I am feeling very nervous right now."

"I think I am going to vomit."

"I am no longer having contractions."

"I can tell the baby is moving."

Answer 1

The student's question pertains to identifying an adverse effect of terbutaline in a pregnant client. The statement indicating an adverse effect would be the client feeling very nervous, as terbutaline can cause nervousness due to its beta-agonist effects.

Step-by-step explanation:

The student has asked a question related to the adverse effects of the medication terbutaline which is used to treat preterm labor. Terbutaline is a beta-agonist that can relax the uterine muscles to delay labor. However, it may cause several side effects, due to its systemic effect on the beta receptors throughout the body, including increased heart rate, palpitations, tremors, and a sense of nervousness or anxiety.

When the student asks which statement by the client would indicate an adverse effect of terbutaline, the answer would be, "I am feeling very nervous right now." This is because the nervousness is directly related to the medication's stimulation of the beta-adrenergic receptors, resulting in increased adrenaline-like effects. While nausea and a sense of the baby moving are also possible effects, they are not as directly associated with the adverse effects of terbutaline as nervousness is. The statement about not having contractions indicates that the medication is potentially working as intended.