A patient has been taking betamethasone for the treatment of chronic obstructive pulmonary disease. Which statements by the patient indicates the need for further instruction?

Explanation

• Corticosteroids should not be suddenly discontinued due to the risk of adrenal insufficiency. Corticosteroids should be tapered gradually when being discontinued. Skin atrophy or thinning is a common side effect and does not warrant the discontinuation of betamethasone.

• Corticosteroids are maintenance therapy for asthma and will not resolve acute episodes of wheezing. Short-acting beta agonists (albuterol) are used for acute episodes.

• Corticosteroids have been shown to cause some birth defects, so the use of this drug during pregnancy should be discussed with the physician.

• Hypertension and hyperglycemia are common side effects of corticosteroids. Therefore, the patient should continue their blood pressure medication and be instructed on the symptoms of hyperglycemia.

Visit our website for other NCLEX topics now!