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1. Question
Terbutaline is prescribed for a client with bronchitis. The nurse checks the client’s medical history for which disorder in which the medication should be used with caution?
Correct
Answer: Option 3 is the correct answer.
Rationale: Terbutaline is a bronchodilator and is contraindicated in clients with hypersensitivity to sympathomimetics. It should be used with caution in clients with impaired cardiac function, diabetes mellitus, hypertension, hyperthyroidism, or a history of seizures. The medication may increase blood glucose levels. Test-Taking Strategy: Focus on the subject, cautions for using terbutaline. Specific knowledge regarding the contraindications and cautions associated with the use of this medication is needed to answer this question. Remember that terbutaline is used with caution in the client with diabetes mellitus.
Incorrect
Answer: Option 3 is the correct answer.
Rationale: Terbutaline is a bronchodilator and is contraindicated in clients with hypersensitivity to sympathomimetics. It should be used with caution in clients with impaired cardiac function, diabetes mellitus, hypertension, hyperthyroidism, or a history of seizures. The medication may increase blood glucose levels. Test-Taking Strategy: Focus on the subject, cautions for using terbutaline. Specific knowledge regarding the contraindications and cautions associated with the use of this medication is needed to answer this question. Remember that terbutaline is used with caution in the client with diabetes mellitus.
Terbutaline is an agonist of beta-adrenergic receptors used
for the prevention and resolution of bronchospasm in patients 12 years of age
and older with asthma and reversible bronchospasm associated with bronchitis
and emphysema.
Terbutaline was approved by The Food and Drug Administration
(FDA) in 1974.
Side effects
The most common side effects that can occur with terbutaline
are:
Nausea,
Vomiting,
Weakness,
Nervousness
Tremor
A headache
Fast heartbeat
Flushed feeling,
Sweating,
Pain at the injection site,
Anxiety,
Shortness of breath,
Chest discomfort,
Shortness of breath,
Chest discomfort,
Dizziness,
Drowsiness,
Palpitations,
While Serious side effects
may include :
Hallucinations
Terbutaline during pregnancy
It should not be used to stop or prevent premature labor in
pregnant women, especially in women who are not hospitalized. Terbutaline
caused severe side effects, including death, in pregnant women who took the
drug for this purpose. Terbutaline also caused serious side effects in newborns
whose mothers took the drug to stop or prevent childbirth.
