The client receives prednisone as treatment for his inflammatory disease. He has experienced great relief and asks the nurse if he can just keep taking this medication. What is the best response by the nurse?
1. "No, because this medication has serious adverse effects."
2. "No, your doctor said the best treatment for your illness is to alternate medications."
3. "No, your body would get used to it and it would lose its effectiveness."
4. "No, because your illness is in remission and you don't need medication now."
1
Rationale 1: Systemic glucocorticoids are reserved for the short-term treatment of severe disease because of potentially serious adverse effects.
Rationale 2: Medications are alternated due to the serious effects of glucocorticoids, not because this is the best treatment for the illness.
Rationale 3: The body does not get used to systemic glucocorticoids.
Rationale 4: There is no evidence that the client's illness is in remission.
Global Rationale: Systemic glucocorticoids are reserved for the short-term treatment of severe disease because of potentially serious adverse effects. Medications are alternated due to the serious effects of glucocorticoids, not because this is the best treatment for the illness. The body does not get used to systemic glucocorticoids. There is no evidence that the client's illness is in remission.
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Fill in the blank(s) with the appropriate word(s).
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