NCLEX-RN

Category - Pharmacological

A client with diabetes mellitus who is taking regular insulin is newly ordered prednisone (Deltasone). The nurse’s most appropriate action during drug administration is which of the following?
  1. Add a half-dose of an oral hypoglycemic agent, as ordered.
  2. Increase the dose of prednisone, as ordered.
  3. Decrease the amount of regular insulin, as ordered.
  4. Increase the amount of regular insulin, as ordered.
Explanation
Answer: D - Glucocorticoids are known to increase blood sugar levels. The dose of regular insulin often needs to be increased during steroid therapy.
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