{"id":140170,"date":"2024-09-18T11:19:35","date_gmt":"2024-09-18T11:19:35","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=140170"},"modified":"2024-09-18T11:19:37","modified_gmt":"2024-09-18T11:19:37","slug":"the-nurse-is-providing-discharge-teaching-for-a-client-prescribed-prednisone-to-be-taken-on-alternate-days","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/09\/18\/the-nurse-is-providing-discharge-teaching-for-a-client-prescribed-prednisone-to-be-taken-on-alternate-days\/","title":{"rendered":"The nurse is providing discharge teaching for a client prescribed prednisone to be taken on alternate days"},"content":{"rendered":"\n

The nurse is providing discharge teaching for a client prescribed prednisone to be taken on alternate days. The client asks why he cannot just take half a pill every day.
What rationale should the nurse describe?<\/p>\n\n\n\n

A.
To decrease adrenal suppression.<\/p>\n\n\n\n

B.
To eliminate adverse side effects.<\/p>\n\n\n\n

C.
To prevent steroid tolerance.<\/p>\n\n\n\n

D.
To prolong therapeutic effects.<\/p>\n\n\n\n

The correct answer and Explanation is :<\/strong><\/mark><\/p>\n\n\n\n

The correct answer is A. To decrease adrenal suppression.<\/strong><\/p>\n\n\n\n

Explanation:<\/h3>\n\n\n\n

Prednisone is a corticosteroid used to treat various inflammatory and autoimmune conditions. When a client is prescribed prednisone to be taken on alternate days, this dosing schedule is designed to minimize the risk of adrenal suppression. Here’s why:<\/p>\n\n\n\n

Adrenal Suppression:<\/strong>
The adrenal glands produce natural corticosteroids, such as cortisol, which help regulate various bodily functions, including metabolism and the immune response. When a patient takes prednisone, an external source of corticosteroids, the body\u2019s natural adrenal glands may reduce their own production of these hormones, a condition known as adrenal suppression.<\/p>\n\n\n\n

Alternate Day Dosing:<\/strong>
The alternate day dosing schedule is a strategy to reduce the risk of adrenal suppression. By allowing a day off between doses, the adrenal glands have a better chance to recover and resume their normal hormone production. This approach mimics the body\u2019s natural rhythm of cortisol production and can help prevent the suppression of adrenal function that might occur with daily dosing.<\/p>\n\n\n\n

Other Options:<\/strong><\/p>\n\n\n\n

    \n
  • B. To eliminate adverse side effects:<\/strong> While alternate day dosing might help reduce side effects, the primary goal of this regimen is to prevent adrenal suppression rather than to eliminate all adverse effects. Side effects like weight gain, mood swings, and increased blood sugar may still occur but are not the primary focus of the alternate day regimen.<\/li>\n\n\n\n
  • C. To prevent steroid tolerance:<\/strong> Steroid tolerance typically refers to the body\u2019s decreased response to the drug over time. Alternate day dosing does not primarily address tolerance but rather focuses on minimizing suppression of adrenal gland function.<\/li>\n\n\n\n
  • D. To prolong therapeutic effects:<\/strong> While alternate day dosing can have an impact on how long the medication\u2019s effects are felt, it is primarily used to manage adrenal suppression rather than to prolong the therapeutic effects of the drug.<\/li>\n<\/ul>\n\n\n\n

    In summary, taking prednisone on alternate days helps reduce the risk of adrenal suppression by allowing the body\u2019s adrenal glands time to function normally and produce natural corticosteroids. This approach aims to balance the therapeutic benefits of prednisone while minimizing its impact on the body\u2019s natural hormone production.<\/p>\n","protected":false},"excerpt":{"rendered":"

    The nurse is providing discharge teaching for a client prescribed prednisone to be taken on alternate days. The client asks why he cannot just take half a pill every day.What rationale should the nurse describe? A.To decrease adrenal suppression. B.To eliminate adverse side effects. C.To prevent steroid tolerance. D.To prolong therapeutic effects. The correct answer […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140170","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140170","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140170"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140170\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140170"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140170"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140170"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}