What is an important nursing action for patients being treated with long-term corticosteroids?

Monitoring for signs of infection is a crucial nursing action for patients being treated with long-term corticosteroids. Corticosteroids are immunosuppressive agents; they reduce inflammation but also suppress the body's immune response. As a result, patients on long-term therapy are at an increased risk of infections due to decreased white blood cell function and impaired natural defenses.

In this context, vigilance for infections is essential. Nurses should educate patients on recognizing early signs of infection, such as fever, increased warmth, redness, swelling, or unusual fatigue. Early detection and intervention can significantly improve outcomes for these patients.

Other approaches, such as restricting sodium intake or limiting fluid intake, may not be appropriate or beneficial for all individuals receiving corticosteroids, as these medications can lead to fluid retention and electrolyte imbalances. Encouraging strict bed rest is also not typically necessary unless a patient exhibits other specific health concerns that necessitate limited activity. Thus, monitoring for signs of infection aligns closely with the health risks associated with long-term corticosteroid therapy.