A client with chronic obstructive pulmonary disease (COPD) is prescribed an inhaled corticosteroid. Which of the following instructions should the nurse include when teaching the client about the medication?

A) Correct. Instructing the client to rinse their mouth with water after each inhalation is important when using an inhaled corticosteroid. This action helps prevent the development of oral candidiasis (thrush), a potential side effect of inhaled corticosteroids.

B) Incorrect. Inhaled corticosteroids are maintenance medications for COPD and are not intended for use on an as-needed basis during acute exacerbations. Clients should have a separate rescue inhaler for acute symptom relief.

C) Incorrect. The use of a spacer device can improve the delivery of inhaled corticosteroids to the lungs, especially for clients who have difficulty coordinating inhaler use. Therefore, it is recommended to use a spacer device when using an inhaler.

D) Incorrect. Inhaled corticosteroids provide long-term control of symptoms in COPD but do not provide immediate relief. It may take several days to weeks of consistent use for the medication to reach its full therapeutic effect.

C) Correct. Leukotriene receptor antagonists are not intended for immediate relief during an asthma attack. They are long-term control medications used to manage and prevent asthma symptoms. Clients should have a separate rescue inhaler for acute symptom relief.

A) Incorrect. Taking the medication on an empty stomach may enhance its absorption, although it can be taken with or without food.

B) Incorrect. Leukotriene receptor antagonists have been associated with mood changes, including depression and suicidal ideation. Therefore, it is important to notify the healthcare provider if any mood changes occur.

D) Incorrect. The client should continue using their other asthma medications as prescribed, as leukotriene receptor antagonists are often used as an adjunct therapy for asthma management.