What is the nurse's primary responsibility when a client is prescribed oral corticosteroids for Addison's disease?

When a client is prescribed oral corticosteroids for Addison's disease, the nurse's primary responsibility is to supervise and monitor the administration of the drug. This is crucial due to the specific needs and vulnerabilities associated with Addison's disease, a condition characterized by insufficient production of corticosteroids by the adrenal glands. Clients may require adjustments in their medication doses depending on their stress levels, illness, or other factors, making it essential for the nurse to oversee this critical aspect of their treatment.

Monitoring the administration also allows the nurse to observe for potential side effects and complications associated with corticosteroid use, such as changes in mood, infection risk, or metabolic disturbances. Close supervision ensures that the client is taking the medication correctly and understands the importance of adherence to the prescribed regimen, particularly since interruptions in treatment can lead to serious health complications.

Encouraging self-administration, while important in fostering independence, does not take precedence over the need for close monitoring once the medication has been initiated. Likewise, while dietary modifications may be relevant, they should complement the medication regimen rather than supersede the more immediate need for effective drug administration and monitoring. The emphasis on daily management of corticosteroids is vital given the potential for adrenal crisis in clients with Addison's disease if treatment is not carefully managed