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1. Question
Terbutaline is prescribed for a client with bronchitis. Which disorder in the client’s medical history requires caution by the nurse?
Correct
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
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
Trade Names Brethine, Bricanyl
Drug Class: Beta-2 Adrenergic Agonist
Mechanism of Action: same as albuterol
Indications:
Prevention or Reversal of bronchospasm in patients with bronchial asthma and reversible bronchospasm associated with bronchitis and emphysema
In some patients the severity of bronchoconstriction can limit the delivery of drugs by inhalation, making systemic drug administration necessary
Contraindications:
hypersensitivity
Side Effects:
Similar to those commonly seen with other sympathomimetic agents (e.g. albuterol)
All these reactions are transient in nature and usually do not require treatment
