The nurse is providing discharge teaching to a client who has been prescribed prednisone. The nurse instructs the client to report which symptom to the health care provider?

  1. increased appetite
  2. anxiety or confusion
  3. strong, bounding pulses
  4. weight gain of 3 pounds
Number 2 is correct.
Rationale: Side effects of prednisone include hypokalemia. Anxiety, confusion, and lethargy are signs of hypokalemia and should be reported. Increased appetite and slight weight gain are common side effects that do not need to be reported; weight gain greater than 5 pounds per week or continued weight gain should be reported. A strong, bounding pulse would not be an expected finding in hypokalemia.