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.

Question

Quizplus · Accepted Answer

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 Telling a patient to stop taking the drug is incorrect, because a glucocorticoid must be withdrawn slowly to allow time for recovery of adrenal function.

A Patient Taking a Glucocorticoid for Arthritis Reports Feeling Bloated