Exhibits The nurse prepares the client for discharge and educates him on his new prescription. Which possible side effects of fluticasone should the nurse advise the client about? Select all that apply.

A. Hyperglycemia: Fluticasone is an inhaled corticosteroid, which can cause systemic effects including elevated blood glucose levels, especially with long-term use or high doses. Clients with diabetes or at risk should monitor glucose closely. B. Oral candidiasis: A common side effect of inhaled corticosteroids like fluticasone is oral candidiasis (thrush). This occurs due to local immunosuppression in the mouth, and proper rinsing after use can help prevent it. C. Hyperkalemia: Fluticasone does not typically cause hyperkalemia. Electrolyte imbalances such as hypokalemia may occur with systemic corticosteroids but hyperkalemia is not common. D. Dry mouth: Dry mouth can occur with inhaled corticosteroids due to local irritation or reduced saliva production, leading to discomfort and increased risk of oral infections. E Dehydration: Dehydration is not a typical side effect of fluticasone inhalers. Fluid balance is generally not affected by inhaled corticosteroids at therapeutic doses. F. Hypoxia: Fluticasone does not cause hypoxia. It is used to improve airway inflammation and breathing, thereby improving oxygenation. G. Adrenal suppression: Prolonged use of corticosteroids, even inhaled forms like fluticasone, can suppress the hypothalamic-pituitary-adrenal (HPA) axis, reducing the body’s natural cortisol production. This is more common with high doses or systemic corticosteroids.