The client with chronic obstructive pulmonary disease (COPD) is being changed from an oral glucocorticoid to triamcinolone (Azmacort) by inhalation
The nurse plans to monitor the client for which of the following signs and symptoms during the change? 1. Chills, fever, generalized rash
2. Vomiting and diarrhea, increased thirst
3. Blurred vision, headache, and insomnia
4. Anorexia, nausea, weakness, and fatigue
4
Rationale: Triamcinolone (Azmacort) is an adrenocortical steroid. The client who is being changed from an oral to an inhalation glucocorticoid could experience signs of adrenal insufficiency. The nurse should monitor the client for anorexia, nausea, weakness, and fatigue. The nurse should also monitor for hypotension and hypoglycemia.
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The perinatal nurse caring for Emily, a 24-year-old mother of an infant born at 26 weeks gestation, is providing discharge teaching
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