Which statement by a client taking prednisone for pneumonia indicates a need for further teaching?

• A. "I may eat more food than usual."
• B. "I need to take the medication on an empty stomach."
• C. "I need to gradually decrease the dose."
• D. "I should notify my doctor if my urine has a foul odor."

Answer: (B)

The statement about the necessity to take prednisone on an empty stomach indicates a need for further teaching because prednisone is typically advised to be taken with food. This precaution is important in order to minimize gastrointestinal irritation and possible side effects such as stomach upset and ulcers. Taking the medication with food helps to protect the stomach lining and reduces the risk of uncomfortable gastrointestinal complications.

The other statements reflect appropriate understanding of prednisone use. Eating more food is relevant since prednisone can increase appetite and cause fluid retention, potentially leading to weight gain. Gradually decreasing the dose is critical under a provider’s guidance to avoid withdrawal symptoms, as prednisone is a corticosteroid that affects adrenal function. Notifying the doctor about foul-smelling urine is also important, as it could indicate a urinary tract infection, which can be a concern for clients on immunosuppressive therapy. All these aspects highlight a solid understanding of the medication's effects and the necessary precautions that come with its use.