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    Hesi med surg proctored exam (respgitcvs) MCHPS University
    Select All That Apply

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

    Explanation & Rationale

    Rationale: A. Dry mouth: Inhaled corticosteroids like fluticasone can cause local irritation in the mouth and throat, leading to dryness or sore throat. This occurs because of reduced salivary moisture and medication residue in the oropharyngeal cavity. B. Dehydration: Fluticasone does not alter fluid balance directly. Dehydration is not a common or expected side effect of inhaled corticosteroid therapy. C. Oral candidiasis: One of the most frequent complications of inhaled corticosteroids is thrush (oral candidiasis), caused by fungal overgrowth. This can be minimized by rinsing the mouth thoroughly after each inhalation. D. Hyperglycemia: While systemic corticosteroids can elevate blood glucose levels, the inhaled form has minimal systemic absorption and is unlikely to cause significant hyperglycemia when used as prescribed. E. Adrenal suppression: With long-term or high-dose use, inhaled corticosteroids can be absorbed systemically and suppress adrenal gland function. This risk is lower than with oral corticosteroids but still possible, especially with prolonged use. F. Hyperkalemia: Fluticasone does not affect potassium levels. Electrolyte disturbances such as hyperkalemia are not associated with inhaled corticosteroids. G. Hypoxia: Fluticasone itself does not cause hypoxia. It is used to prevent airway inflammation and improve oxygenation, not impair it.

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