What should the nurse include in the teaching plan for a client prescribed prednisone for Addison's disease?

When developing a teaching plan for a client prescribed prednisone for Addison's disease, it is essential to include the importance of monitoring bone health due to the potential side effects of long-term corticosteroid use. Prednisone can lead to a decrease in bone density, increasing the risk of osteoporosis and fractures. Therefore, scheduling a bone density test is crucial to assess the impact of the medication on bone health and implement preventive measures if necessary.

Monitoring bone density allows for early detection of osteoporosis, enabling timely interventions such as dietary modifications, supplementation with calcium and vitamin D, or pharmacological treatments that can help maintain bone health. This proactive approach is particularly important for clients on long-term steroid therapy, as they may not be aware of the gradual loss of bone density that can occur.

While regular blood pressure checks can be necessary for those on prednisone due to the medication's potential to raise blood pressure, it does not specifically address the long-term risks associated with Addison's disease and steroid therapy. Taking medication only when symptoms occur is not advisable, as consistent dosing is critical for managing adrenal insufficiency effectively. Reducing fluid intake is generally not indicated as the client may be at risk for dehydration in the context of Addison's disease, where adequate hydration is important.