A nurse is caring for a client who has asthma and is taking fluticasone. For which of the following adverse effects should the nurse monitor?

A. Oral candidiasis: Fluticasone is an inhaled corticosteroid that can suppress local immunity in the mouth and throat, allowing fungal organisms to proliferate. Clients using inhaled steroids are at increased risk for oral thrush, so monitoring and teaching proper mouth rinsing is important. B. Hypoglycemia: Inhaled corticosteroids typically do not cause hypoglycemia. In fact, systemic corticosteroids can increase blood glucose, but hypoglycemia is not an expected adverse effect of fluticasone. C. Hypertension: While systemic corticosteroids can contribute to hypertension over time, inhaled fluticasone at therapeutic doses has minimal systemic absorption and rarely causes elevated blood pressure. D. Polyuria: Polyuria is not associated with inhaled corticosteroids. It is more commonly related to conditions affecting the kidneys, diabetes mellitus, or use of diuretics, rather than inhaled asthma medications.