A patient has taken prednisone for several months and says, “I will stop it as soon as I feel better.” Which response is most appropriate?
Correct answer: B. Taper it only according to the prescribed schedule
- A. Stop it immediately to prevent weight gain
- B. Taper it only according to the prescribed schedule
- C. Double the dose on days when pain is severe
- D. Skip doses regularly to allow the adrenal glands to rest
Explanation
Long-term corticosteroid therapy suppresses the hypothalamic-pituitary-adrenal axis. Abrupt withdrawal can cause adrenal insufficiency, so the dose must be reduced gradually as prescribed.
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About Endocrine and Diabetes Nursing
Covers diabetes mellitus, insulin therapy, hypoglycaemia, diabetic ketoacidosis, hyperosmolar states and common thyroid, adrenal and pituitary disorders. It includes blood glucose monitoring, diet, foot care, sick-day management and the clinical differences between type 1 and type 2 diabetes and between diabetic ketoacidosis and hyperosmolar hyperglycaemic state.
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50 free Endocrine and Diabetes Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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