A nurse is assessing a school-age child who is receiving prednisolone. For which of the following adverse effects should the nurse monitor?

A. Hypoglycemia: Prednisolone is a corticosteroid that increases gluconeogenesis and decreases insulin sensitivity, which can lead to elevated blood glucose levels rather than hypoglycemia. Monitoring typically focuses on signs of hyperglycemia, especially with prolonged therapy. B. Weight loss: Corticosteroid therapy is commonly associated with weight gain due to increased appetite and fluid retention. Weight loss is not a typical adverse effect and would prompt evaluation for other underlying causes. C. Decreased bone density: Long-term or high-dose corticosteroid use can interfere with calcium absorption and bone formation, increasing the risk of osteoporosis and fractures. Monitoring growth patterns and bone health is especially important in school-age children receiving prednisolone. D. Decreased intraocular pressure: Corticosteroids are associated with increased intraocular pressure and an elevated risk of glaucoma. Decreased intraocular pressure is not expected and does not align with known adverse effects of prednisolone.