Question

Immediately after a bilateral adrenalectomy a client is receiving corticosteroids that are to be continued after discharge from the hospital. Which statement by the client indicates to the nurse that additional education is needed?

A. "I need to have periodic tests of my blood for glucose."
B. "I am glad that I only have to take the medication once a day."
C. "I must take the medicine with meals while I have food in my stomach."
D. "I should tell the doctor if I am overly restless or have trouble sleeping."

Answer 1

B. "I am glad that I only have to take the medication once a day."

Step-by-step explanation:

Usually a larger dose is given at 8 am and the second dose is given before 4 pm to mimic expected hormonal secretion and prevent insomnia. Having periodic blood tests for glucose is necessary because long-term administration of steroids leads to elevated blood glucose levels and possible steroid-induced diabetes. Oral corticosteroids should be taken with food or antacids to prevent gastric irritation and gastric hemorrhage. Neurological and emotional side effects, such as euphoria, mood swings, and sleeplessness, are expected.