A nurse is reviewing a list of current medications for a client who is starting therapy with furosemide. Which of the following medications should the nurse identify as being contraindicated?

D. Prednisone can suppress the immune system, making individuals more susceptible to infections. Sore throat can be a sign of an infection, and it's important for clients taking prednisone to report any signs of infection, including sore throat, to their healthcare provider promptly.
A. Prednisone can cause sodium retention and fluid retention, leading to increased blood pressure and other complications. Therefore, clients taking prednisone should generally aim to limit their sodium intake rather than increase it.
B. Prednisone is typically taken with food or milk to help minimize gastrointestinal irritation. Taking prednisone on an empty stomach may increase the risk of gastrointestinal side effects such as stomach upset or ulcers.
C. Weight gain, rather than weight loss, is a common side effect of prednisone. Prednisone can cause fluid retention, increased appetite, and redistribution of body fat, leading to weight gain.
Clients should be advised to watch for signs of weight gain and discuss any significant changes with their healthcare provider.

Albuterol belongs to a class of medications known as beta-adrenergic agonists, specifically beta-2 selective agonists. When inhaled, albuterol binds to beta-2 adrenergic receptors located on the smooth muscle cells lining the airways in the lungs. Activation of these receptors leads to relaxation of the smooth muscles surrounding the bronchial tubes, causing them to widen (bronchodilation). By dilating the airways, albuterol helps to reduce airway resistance and increase airflow into and out of the lungs, making it easier to breathe during an asthma attack.

One should hold breath for 5 to 10 seconds after inhalation of the puff.

Salmeterol is a long-acting beta-adrenergic agonist (LABA) bronchodilator commonly used for the maintenance treatment of asthma and chronic obstructive pulmonary disease (COPD). Salmeterol is usually prescribed for twice-daily dosing.

One should wait for 2 minutes between two puffs.

Fluticasone is a corticosteroid medication that is inhaled into the lungs to reduce inflammation in the airways. If these particles remain in the mouth, they can increase the risk of developing oral thrush, which is a fungal infection caused by Candida albicans. Rinsing the mouth with water after using the inhaler helps to remove any residual medication particles, reducing the risk of oral thrush.