A patient has been prescribed a second 10-day course of a corticosteroid. The nurse should provide which medication education?
1. "Make certain you do weight-bearing exercises at least three times each week."
2. "Weigh yourself every day."
3. "Let us know if you development a fever."
4. "Monitor the color of your urine."
5. "If you feel jittery or anxious, discontinue the medication."
1,2,3
Rationale 1: Corticosteroid may affect bone density. Weight-bearing exercises help to prevent this effect.
Rationale 2: Corticosteroids may result in fluid retention. Daily weights help to monitor this effect.
Rationale 3: Corticosteroids can result in immune depression.
Rationale 4: Urine color is not affected.
Rationale 5: The patient should not abruptly discontinue this medication. This is the second of two 10-day courses.
Global Rationale: Corticosteroid may affect bone density. Weight-bearing exercises help to prevent this effect. Corticosteroids may result in fluid retention. Daily weights help to monitor this effect. Corticosteroids can result in immune depression. Urine color is not affected. The patient should not abruptly discontinue this medication. This is the second of two 10-day courses.
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