The nurse assesses a client who is on fluticasone (Flovent) and notes oral lesions. What is the nurse's best action?
a. Teach the client to rinse the mouth after Flovent use.
b. Have the client use a mouthwash daily.
c. Start the client on a broad-spectrum anti-biotic.
d. Document the finding as a known side effect.
A
The drug reduces local immunity and increases the risk for local infection, especially Candida albicans. Rinsing the mouth after using the inhaler will decrease the risk for developing this in-fection. Use of mouthwash and broad-spectrum antibiotics is not warranted in this situation. The nurse should document the finding, but the best action to take is to have the client start rinsing his or her mouth after using Flovent.
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