A client diagnosed with Addison's disease is being treated with prednisone. The nurse must educate the patient about which of the following side effects of prednisone? Select all that apply.

Choice A reason:

Diarrhea is not typically associated with the abrupt discontinuation of TPN. TPN involves intravenous administration of nutrients, and while gastrointestinal side effects can occur when starting or stopping TPN, diarrhea is more commonly linked to enteral nutrition or oral intake changes rather than TPN.

Choice B reason:

Hyperglycemia is more likely to occur when TPN is initiated or if the infusion rate is too high. When TPN is abruptly stopped, the sudden cessation of dextrose infusion can lead to a rapid drop in blood glucose levels, resulting in hypoglycemia rather than hyperglycemia. Therefore, hyperglycemia is not the correct condition associated with the abrupt discontinuation of TPN.

Choice C reason:

Hypoglycemia can occur if TPN is abruptly stopped due to the sudden loss of continuous glucose infusion. TPN solutions often contain dextrose to provide a steady supply of glucose. Abrupt cessation can cause a rapid decrease in blood glucose levels, leading to hypoglycemia. This condition requires monitoring and gradual tapering of TPN to prevent significant drops in blood sugar.

Choice D reason:

Erythema at the insertion site can be a sign of local irritation or infection related to the intravenous catheter used for TPN administration. However, it is not a direct result of abruptly stopping TPN. This condition would be related to catheter care and site maintenance rather than the discontinuation of the TPN solution itself.

Choice A reason:

Haloperidol (Haldol) is an antipsychotic medication used primarily to treat schizophrenia and acute psychotic states. It is not typically used as a first-line treatment for depression and can have significant side effects that are not suitable for treating depressive disorders.

Choice B reason:

Sertraline (Zoloft) is a selective serotonin reuptake inhibitor (SSRI) commonly used as a first-line treatment for depression. SSRIs are preferred due to their efficacy, safety profile, and relatively mild side effects compared to other classes of antidepressants. Sertraline helps increase serotonin levels in the brain, improving mood and emotional well-being.

Choice C reason:

Clozapine (Clozaril) is an atypical antipsychotic used to treat schizophrenia, particularly in cases resistant to other treatments. It is not used as a first-line treatment for depression and has a risk of severe side effects, such as agranulocytosis, which requires regular blood monitoring.

Choice D reason:

Risperidone (Risperdal) is another atypical antipsychotic used to treat schizophrenia, bipolar disorder, and irritability associated with autism. It is not considered a first-line treatment for depression and is typically used for conditions involving psychosis rather than depressive disorders.