A client is started on prednisone 2.5 mg po bid. Which of the following instructions should be included in her discharge teaching specific to this medication?

Question

Options

• AIncrease your oral intake of fluids to at least 4000 mL every day.
• BAvoid contact with people who have contagious illnesses.
• CBrush your teeth at least 4 times a day with a firm toothbrush.
• DImmediately stop taking the prednisone if you feel depressed.

• A
  4% (1)
• B
  81% (22)
• C
  4% (1)
• D
  11% (3)

Explanation

(A) Fluid retention is a side effect of prednisone. The nurse should teach clients to weigh themselves daily and to observe for signs of edema. If these signs of fluid retention occur, they should notify the physician. (B) Prednisone, a glucocorticoid, suppresses the normal immune response making the client more susceptible to infections. (C) An increase in bleeding tendencies is a side effect of prednisone therapy. The nurse should teach clients to use preventive measures (i.e., electric razors and soft toothbrushes). (D) Depression and personality changes are side effects of prednisone therapy. Prednisone should never be discontinued abruptly.

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