What should a nurse monitor in a client receiving corticosteroids and antibiotics for pneumonia?

Monitoring serum glucose levels in a client receiving corticosteroids and antibiotics for pneumonia is crucial due to the known effects of corticosteroids on glucose metabolism. Corticosteroids can lead to increased blood sugar levels as they promote gluconeogenesis, which is the production of glucose from non-carbohydrate sources. This can result in hyperglycemia, especially in patients who may already be at risk for glucose dysregulation, such as those with diabetes or those who are under significant physical stress from an infection like pneumonia.

While monitoring other parameters such as platelet count, liver function tests, and electrolyte levels can also be important in the broader context of patient care, they are not as directly impacted by corticosteroid therapy as serum glucose levels. Hence, vigilant monitoring of glucose levels is essential to prevent complications associated with high blood sugar and to ensure that any needed adjustments in treatment can be made promptly.