A client diagnosed with asthma is prescribed an inhaled corticosteroid. Which should the nurse include in the client education? Select all that apply.

A. "During an acute asthma attack use your corticosteroid first.": Inhaled corticosteroids are not fast-acting rescue medications; they have a delayed onset and are intended for long-term control. Using them first during an acute attack will not relieve bronchospasm quickly and may delay effective treatment. B. "During an acute asthma attack use your albuterol inhaler first.": Short-acting beta-2 agonists like albuterol are rapid-acting bronchodilators. Using them first during an acute asthma attack opens the airways, allowing subsequent medications such as corticosteroids to reach target sites more effectively. This sequence improves drug delivery and symptomatic relief. C. "Report white patches in your mouth to your provider.": Inhaled corticosteroids can increase the risk of oral candidiasis (thrush). White patches, soreness, or redness in the mouth should be reported, as these may require antifungal treatment or adjustments in inhaler technique. D. "Tachycardia and nervousness is an expected adverse effect.": These symptoms are more characteristic of beta-agonists like albuterol. Inhaled corticosteroids do not typically cause tachycardia or nervousness; their adverse effects are usually local, such as throat irritation or oral fungal infections. E. "Rinse your mouth after using your inhaler.": Rinsing the mouth and gargling after corticosteroid inhalation reduces the risk of oral candidiasis and throat irritation by removing residual medication. This simple practice enhances safety and comfort for long-term therapy.