Which laboratory test should the nurse monitor for the client receiving the intravenous steroid Solu-Medrol?

Question

Question

Answer 1

Correct Answer: Glucose level

Rationale:

Solu-Medrol (methylprednisolone) is a corticosteroid medication commonly used to reduce inflammation and suppress the immune system in various conditions, such as asthma, allergies, and autoimmune disorders.
One of the significant side effects of corticosteroids, including Solu-Medrol, is the potential to increase blood glucose levels. This is because corticosteroids can stimulate gluconeogenesis and reduce the sensitivity of cells to insulin, leading to hyperglycemia.
Therefore, it is crucial for nurses to monitor the glucose levels of clients receiving intravenous Solu-Medrol to detect and manage any potential hyperglycemia promptly. This is especially important for clients with diabetes or those at risk of developing diabetes.

Explanation of Other Options:

Potassium level

Rationale: While corticosteroids can affect electrolyte balance, including potassium levels, this is not the most critical laboratory value to monitor in clients receiving Solu-Medrol. Changes in potassium levels are more commonly associated with long-term corticosteroid use.

Sputum culture & sensitivity

Rationale: Sputum culture and sensitivity tests are used to diagnose respiratory infections by identifying the causative organisms and determining their antibiotic sensitivity. This test is not directly related to the administration of Solu-Medrol.

Arterial Blood Gas (ABG)

Rationale: ABG tests are used to assess the levels of oxygen, carbon dioxide, and blood pH, which can help evaluate respiratory function and acid-base balance. Although corticosteroids can affect metabolism, ABG monitoring is not the primary concern for clients receiving Solu-Medrol.

Conclusion:

Monitoring glucose levels is essential for clients receiving intravenous Solu-Medrol due to the risk of corticosteroid-induced hyperglycemia. Regular glucose monitoring helps in the early detection and management of elevated blood sugar levels, ensuring better overall patient care.