The nurse is working with a client who will be taking 20 mg of prednisone daily for rheumatoid arthritis. Which precautions does the nurse give the client about taking this medication?
a. "Take this medication at bedtime because it will make you sleepy."
b. "Take calcium and vitamin D supplements daily."
c. "Eat a high-fiber diet with lots of lean meats."
d. "Wash your face twice a day with an an-tibacterial soap."
B
Long-term steroid use is associated with many complications, including diabetes, infection, and osteoporosis, among others. The client should be instructed to take calcium and vitamin D sup-plements to help prevent osteoporosis. Prednisone does not cause constipation, so increased fiber would not be helpful. Prednisone should be taken in the morning because it may interfere with sleep if taken at bedtime. Washing the face with antibacterial soap may cause skin dryness and breakdown.
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