Practice Question
A nurse is reviewing a client's prescription for terbutaline 0.25 mg subcutaneous every 4hr for 24hr PRN more than four uterine contractions per hour. How should the nurse interpret this prescription?
Answer Choices:
Correct Answer:
The nurse should wait until the client has more than four contractions in 1 hr before administering terbutaline.
Rationale:
🟢 The prescription states terbutaline 0.25 mg subcutaneously every 4 hours PRN (as needed) for more than four uterine contractions per hour.
🟢 This means the nurse should monitor contraction frequency and only administer the medication if the client exceeds four contractions in one hour.
🟢 It is not a scheduled medication; rather, it is used reactively to suppress preterm labor contractions.
🟢 Administering terbutaline without the presence of excessive contractions could result in unnecessary side effects such as tachycardia, jitteriness, or pulmonary edema.
🟢 Once administered, it can be repeated no more frequently than every 4 hours, and only within a 24-hour total time frame.
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This question is from PN Dose Calculation-Maternal Newborn Assessment 3.2 which contains 33 questions.
More Questions from This Exam
A nurse is assisting with the care of a client who is 24hr postoperative following a cesarean birth. Which of the following prescriptions should the nurse clarify with the charge nurse?
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From Exam
PN Dose Calculation-Maternal Newborn Assessment 3.2
33 Questions
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- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exams
- Domain: Maternity & Newborn Care
- Answer Choices: 4