A client has been prescribed long-term corticosteroid therapy. What should the nurse instruct the client about the potential effects of this medication regimen?
Standard Text: Select all that apply.
1. Have the blood glucose level checked frequently.
2. Avoid crowds and being around others with respiratory infections.
3. Avoid falling or any other type of injury to the bones.
4. Increase the intake of green leafy vegetables.
5. Increase the daily intake of fiber.
Correct Answer: 1,2,3
Rationale 1: Corticosteroids increase the level of blood glucose, leading to hyperglycemia.
Rationale 2: Corticosteroids suppress the immune response.
Rationale 3: Corticosteroids increase the breakdown of bony matrix, resulting in bone demineralization.
Rationale 4: Corticosteroids do not deplete the body of the nutrients provided by green leafy vegetables.
Rationale 5: Corticosteroids do not cause constipation.
Global Rationale: Corticosteroids increase the level of blood glucose, leading to hyperglycemia. They also suppress the immune system and increase breakdown of bony matrix. They do not deplete the body of nutrients found in green leafy vegetables or cause constipation.
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