A nurse is caring for a client who is taking prednisone for long-term treatment of rheumatoid arthritis. The nurse should monitor the client for which of the following adverse effects of this medication?

A. Weight gain: Ergotamine does not typically cause weight gain. Its primary adverse effects are related to vascular and neuromuscular systems rather than metabolic changes.

B. Constipation: Constipation is not a common adverse effect of ergotamine. The medication primarily affects smooth muscle in blood vessels rather than gastrointestinal motility.

C. Hypoglycemia: Ergotamine does not influence blood glucose levels, so hypoglycemia is not an expected adverse effect.

D. Muscle pain: Ergotamine can cause vasoconstriction of peripheral blood vessels, which may lead to muscle pain, weakness, or tingling in the extremities. This neuromuscular effect is a recognized potential adverse effect of the medication.

A. A client receives regular insulin 1 hr after a meal: Administering insulin outside the recommended timing can cause hypoglycemia or other adverse effects. This medication error is a reportable event, requiring completion of an incident report for documentation and quality improvement.

B. A client refuses to get out of bed: Patient refusal of activity or care is part of routine nursing documentation and does not constitute an incident that requires a formal report unless it results in harm.

C. A client was scheduled to be discharged 2 hr ago: A delayed discharge is an operational issue rather than a clinical incident. It should be addressed in workflow review but does not require an incident report.

D. A client receives an antibiotic 30 min after the scheduled time: A slight delay in routine medication administration is typically documented in the medical record but does not usually meet the threshold for an incident report unless it results in harm or adverse effects.