A patient with inflammatory bowel disease takes corticosteroids for a flare and reports fever, sore throat and productive cough. Which nursing action is most appropriate?
Correct answer: A. Report the symptoms for infection assessment
- A. Report the symptoms for infection assessment
- B. Advise doubling the corticosteroid dose
- C. Reassure the patient that infection is expected
- D. Recommend stopping the drug suddenly
Explanation
Corticosteroids suppress immune responses, so fever and respiratory symptoms require prompt assessment for infection. Corticosteroids should not be stopped suddenly, and the dose should not be changed without medical direction.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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