An older client is prescribed an inhaled corticosteroid as part of treatment for asthma. What will the nurse instruct the client about the use of this medication? Select all that apply.
1. It can cause oral thrush or candidiasis.
2. Use a spacer when taking this medication.
3. It has no effect on any other health problems.
4. Rinse the mouth and spit after using this medication.
5. It is the most effective anti-inflammatory treatment for asthma.
1. It can cause oral thrush or candidiasis.
3. It has no effect on any other health problems.
4. Rinse the mouth and spit after using this medication.
5. It is the most effective anti-inflammatory treatment for asthma.
Explanation: 1. Inhaled corticosteroids can cause oral thrush (candidiasis).
2. clients should be urged to use spacers with their metered-dose inhalers.
3. Adverse effects of inhaled corticosteroids include electrolyte and fluid imbalances in older clients with cardiac or renal disease, the possibility of hypokalemia when the client is taking a thiazide diuretic, worsening of hypertension, and elevated blood sugar and blood urea nitrogen readings in clients with diabetes.
4. Clients should be urged to rinse and spit after use of inhaled corticosteroids.
5. Inhaled corticosteroid therapy is the most effective anti-inflammatory treatment for asthma.
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