Which adverse effects does the nurse anticipate for a client who is receiving long-term therapy with corticosteroids?(Select all that apply.)

Question

1. Delayed wound healing
2. Diarrhea
3. Increased risk for infections
4. Sodium retention
5. Hyperglycemia

Answer 1

1, 3, 4, 5

Rationale 1:Delayed wound healing can occur from the suppression of the immune response.
Rationale 2: Diarrhea is not an adverse effect related to corticosteroids.
Rationale 3:Increased risk for infections is important to monitor during therapy with corticosteroids.
Rationale 4:Corticosteroids can cause hypernatremia and hypokalemia.
Rationale 5:Hyperglycemia should also be monitored with corticosteroids.

Global Rationale: Significant adverse effects can occur during long-term therapy with corticosteroids. A nurse should instruct about risk for infection and delayed wound healing. Laboratory tests should be obtained especially focusing on sodium, potassium, and blood glucose.