A child is to begin long-term glucocorticoid therapy. The parents ask the nurse about the effects of this drug on the child's growth. Which response by the nurse is correct?
a. "A smaller dose may be indicated for your child."
b. "Ask your provider about every other day dosing."
c. "Long-acting glucocorticoid preparations should prevent growth suppression."
d. "Oral glucocorticoids rarely cause growth suppression."
ANS: B
Growth retardation can be minimized with alternate day dosing of glucocorticoids. Giving smaller doses does not prevent this effect with long-term therapy. Long-acting glucocorticoids do not prevent this effect. Oral glucocorticoids have the same side effects.
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