Final answer:
The nurse should educate Ms. Hamilton about dexamethasone, emphasizing that she should not stop taking the medication suddenly, report any bruising or nosebleeds, and avoid live vaccines such as the flu shot due to her compromised immune response.
Step-by-step explanation:
Understanding Dexamethasone for Systemic Lupus Erythematosus (SLE)
The nurse should teach Ms. Hamilton about the prescribed medication dexamethasone, which is a corticosteroid used to downregulate the immune system and inhibit the inflammatory response in conditions like SLE. Dexamethasone helps in reducing the symptoms but has its side effects and specific ways it should be administered. It is crucial for Ms. Hamilton to understand that she should not abruptly stop taking this medication as it could lead to adrenal insufficiency.
Key Instructions for Ms. Hamilton:
It is not necessary to take dexamethasone on an empty stomach; it can be taken with food to lessen stomach irritation.
Notify the healthcare provider if bruising or nosebleeds occur as these can be signs of side effects or complications.
Do not stop taking this medication suddenly without consulting a doctor, as the dose usually needs to be tapered down to prevent withdrawal symptoms.
Individuals on corticosteroids like dexamethasone should not receive live vaccines, including the live flu vaccination, due to the increased risk of infection.