A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report hoarseness. What will the nurse do?
a. Ask whether the patient is rinsing the mouth after each dose.
b. Request an order for an antifungal medi-cation.
c. Suggest that the patient be tested for a bronchial infection.
d. Tell the patient to discontinue use of the glucocorticoid.
A
The most common side effects of inhaled glucocorticoids are oropharyngeal candidiasis and dysphonia. To minimize these, patients should be advised to gargle after each administration. Antifungal medications are used after a fungal infection has been diagnosed. Hoarseness is not a sign of a bronchial infection. There is no need to discontinue the glucocorticoid.
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