A patient with type 2 diabetes that is controlled with diet and metformin (Glucophage)also has severe rheumatoid arthritis.During an acute exacerbation of the patient's arthritis,the physician prescribes prednisone (Deltasone)to control inflammation.What will the nurse anticipate?

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Quizplus · Accepted Answer

Prednisone can increase blood glucose levels, so the nurse should anticipate the need for insulin to control the patient's blood glucose while taking prednisone. Diet may also need to be adjusted, but the primary concern is managing the patient's blood glucose levels. There is no evidence to suggest rashes caused by metformin-prednisone interactions, and acute hypoglycemia is unlikely as prednisone typically causes hyperglycemia.

A Patient with Type 2 Diabetes That Is Controlled with Diet