A nurse is assigned to care for a client on a medical-surgical unit.

Exhibits

Complete the following sentence by using the list of options.
Based on the information provided, the client is likely experiencing

which is caused by

A. The immediate concern with abrupt cessation is more related to adrenal insufficiency rather than hyperglycemia. However, chronic use of prednisone can contribute to glucose intolerance and diabetes, but this is not the primary issue with sudden discontinuation.
B. Abrupt discontinuation of prednisone can lead to adrenal insufficiency because the body has become reliant on the medication to suppress inflammation and regulate various bodily functions. The adrenal glands may not immediately resume normal cortisol production, which can lead to symptoms of adrenal insufficiency, including hypotension.

C. Fluid retention is a common side effect of prednisone use. However, stopping prednisone suddenly does not typically cause fluid retention; rather, it can lead to other issues like adrenal insufficiency. Fluid retention is more related to the medication's use rather than its abrupt discontinuation.
D. Abruptly stopping high-dose prednisone, especially after long-term use, can be dangerous. The body may not immediately resume normal cortisol production, leading to symptoms of adrenal insufficiency, such as fatigue, weakness, and hypotension. It is crucial to taper off prednisone gradually under medical supervision to allow the adrenal glands time to recover and to avoid withdrawal symptoms.

A. Furosemide is a loop diuretic used to manage conditions such as hypertension and fluid retention. While furosemide has potential side effects, it is not specifically associated with an increased risk of developing cataracts.
B. Albuterol is a bronchodilator used to treat conditions such as asthma and chronic obstructive pulmonary disease (COPD). It is not associated with an increased risk of cataracts. Albuterol primarily affects the respiratory system and does not have a known link to cataract development.
C. Gentamicin is an antibiotic used to treat various bacterial infections. While gentamicin can have adverse effects on hearing and kidneys, it is not specifically associated with an increased risk of cataracts. Antibiotics like gentamicin do not have a well-established link to cataract development.

D. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) commonly used for pain relief, anti- inflammatory purposes, and cardiovascular protection. Long-term use of high doses of aspirin or other NSAIDs has been associated with various eye issues, including cataract formation.