A nurse is reinforcing teaching with a client about taking high doses of oral glucocorticoids for an extended period of time to treat rheumatoid arthritis. Which of the following information should the nurse include in the teaching?

A. Long-term use of high-dose glucocorticoids can lead to osteoporosis, increasing the risk of compression fractures in the spine (back and neck). Monitoring bone health and implementing preventive measures such as calcium and vitamin D intake, weight-bearing exercise, and bone density scans is important. B. Clients should increase, not limit, calcium-rich foods to help prevent bone loss associated with prolonged glucocorticoid therapy. C. Glucocorticoids can cause hyperglycemia, not hypoglycemia. Blood glucose should be monitored regularly, not just annually. D. Glucocorticoids are immunosuppressive, not immunostimulatory; long-term use increases susceptibility to infections.