A client is taking long-term corticosteroids for myasthenia gravis. What teaching is most important?
a. Avoid large crowds and people who are ill.
b. Check blood sugars four times a day.
c. Use two forms of contraception.
d. Wear properly fitting socks and shoes.
ANS: A
Corticosteroids reduce immune function, so clients taking these medications must avoid being exposed to illness. Long-term use can lead to secondary diabetes, but the client would not need to start checking blood glucose unless diabetes had been detected. Corticosteroids do not affect the effectiveness of contraception. Wearing well-fitting shoes would be important to avoid injury, but not just because the client takes corticosteroids.
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