While the nurse is collecting the client's personal history, the client states, "I've been taking prednisone for years and I hate it. I am stopping it today." How will the nurse respond?
A) "Continuing with therapy is a personal choice."
B) "You may no longer experience the benefits of treatment."
C) "The side effects of prednisone are difficult for you."
D) "Discontinuing treatment suddenly is extremely dangerous."
D) "Discontinuing treatment suddenly is extremely dangerous."
Explanation: A) Abrupt discontinuation of prednisone therapy in a client with a history of long-term corticosteroid use places the client at risk for an adrenal crisis, a life-threatening complication characterized by dehydration, fever, hyponatremia, hyperkalemia, vascular collapse, and death. Although it is important for the nurse to provide therapeutic communication and reinforce the patient's sense of autonomy, the nurse's best response is to educate the client about the risks of suddenly discontinuing prednisone treatment.
B) Abrupt discontinuation of prednisone therapy in a client with a history of long-term corticosteroid use places the client at risk for an adrenal crisis, a life-threatening complication characterized by dehydration, fever, hyponatremia, hyperkalemia, vascular collapse, and death. Although it is important for the nurse to provide therapeutic communication and reinforce the patient's sense of autonomy, the nurse's best response is to educate the client about the risks of suddenly discontinuing prednisone treatment.
C) Abrupt discontinuation of prednisone therapy in a client with a history of long-term corticosteroid use places the client at risk for an adrenal crisis, a life-threatening complication characterized by dehydration, fever, hyponatremia, hyperkalemia, vascular collapse, and death. Although it is important for the nurse to provide therapeutic communication and reinforce the patient's sense of autonomy, the nurse's best response is to educate the client about the risks of suddenly discontinuing prednisone treatment.
D) Abrupt discontinuation of prednisone therapy in a client with a history of long-term corticosteroid use places the client at risk for an adrenal crisis, a life-threatening complication characterized by dehydration, fever, hyponatremia, hyperkalemia, vascular collapse, and death. Although it is important for the nurse to provide therapeutic communication and reinforce the patient's sense of autonomy, the nurse's best response is to educate the client about the risks of suddenly discontinuing prednisone treatment.
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