Author Question: A patient taking high doses of a glucocorticoid develops weakness in the muscles of the upper arms ... (Read 54 times)

evelyn o bentley · **on:** Jul 23, 2018

A patient taking high doses of a glucocorticoid develops weakness in the muscles of the upper arms and in the legs. What will the nurse do?

a. Contact the provider to ask about reducing the dose.
b. Encourage the patient to restrict sodium intake.
c. Reassure the patient that this is an expected side effect.
d. Tell the patient to stop taking the drug.

Question 2

A patient taking a glucocorticoid for arthritis reports feeling bloated. The nurse notes edema of the patient's hands and feet. Which action by the nurse is correct?

a. Ask the patient about sodium intake.
b. Obtain a blood glucose level.
c. Suggest the patient limit potassium intake.
d. Tell the patient to stop taking the drug.

isabelt_18 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
High-dose glucocorticoid therapy can cause myopathy, manifesting as weakness. If muscle weakness occurs, the dose should be reduced. Reducing the sodium intake is recommended to minimize sodium and water retention. Muscle weakness is not an expected side effect, because it indicates myopathy. It is incorrect to tell the patient to stop taking the drug, because a glucocorticoid must be withdrawn slowly to allow time for recovery of adrenal function.

Answer to Question 2

ANS: A
Because of their mineralocorticoid activity, glucocorticoids can cause sodium and water retention and potassium loss. Asking about the sodium intake can help the nurse evaluate this patient. Although glucocorticoids can affect glucose tolerance, this patient does not have signs of hyperglycemia. Patients with sodium and water retention should be encouraged to increase their potassium intake. Telling a patient to stop taking the drug is incorrect, because a glucocorticoid must be withdrawn slowly to allow time for recovery of adrenal function.