A client with type 2 diabetes begins long-term prednisone therapy for an inflammatory disorder. Which monitori…

Question

A client with type 2 diabetes begins long-term prednisone therapy for an inflammatory disorder. Which monitoring instruction is most important for the nurse to reinforce?

Accepted Answer

Option 4: Check glucose as prescribed and promptly report fever, sore throat, or poor wound healing.

Prednisone can worsen hyperglycemia and suppress immune responses, increasing infection risk and sometimes masking infection cues. A client with diabetes needs prescribed glucose surveillance and prompt reporting of possible infection rather than independently stopping glucocorticoid therapy.

Answer

Option 1: Stop prednisone whenever the blood glucose rises above the usual target range.

Answer

Option 2: Check blood pressure monthly because glucose and infection risk are unaffected.

Answer

Option 3: Limit monitoring to annual eye examinations unless the prednisone dose is doubled.

A client with type 2 diabetes begins long-term prednisone therapy for an inflammatory disorder. Which monitoring instruction is most important for the nurse to reinforce?

In-depth explanation

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A client with type 2 diabetes begins long-term prednisone therapy for an inflammatory disorder. Which monitoring instruction is most important for the nurse to reinforce?

In-depth explanation

Master the NCLEX-RN with MyMerci