The nurse is preparing to administer ciprofloxacin (Cipro) to a client. Which of the following administration guidelines should the nurse provide to the client? (Select all that apply)

A. Rinse the mouth thoroughly with water after each use.: Inhaled glucocorticoids can leave medication residue in the mouth that promotes fungal growth, leading to oral thrush. Rinsing and spitting after each use helps remove the residue and reduces the risk of infection.

B. Consume yogurt daily while using this medication.: Yogurt may support general gut flora but does not prevent oral candidiasis caused by inhaled steroids. It does not address the local effect of medication left on oral surfaces.

C. Avoid using a spacer with the inhaled glucocorticoid medication.: Using a spacer actually helps reduce medication deposition in the mouth and lowers the risk of thrush. Avoiding a spacer can increase oral exposure and worsen symptoms.

D. Clean the inhaler with hot soapy water after each use.: Cleaning the inhaler is good hygiene, but it does not prevent steroid residue from remaining in the mouth after inhalation. Rinsing the mouth is the key preventive measure for thrush.

A. a diuretic: Diuretics are typically considered when lifestyle modifications are insufficient or for higher blood pressure readings. At 135/85 mm Hg, the patient is in the elevated or stage 1 hypertension range, so medication is not the first-line treatment.

B. ACE inhibitor: ACE inhibitors are prescribed for patients with hypertension requiring pharmacologic intervention, particularly with comorbidities like diabetes or heart failure. For borderline or mildly elevated BP, lifestyle changes are preferred initially.

C. a beta blocker: Beta blockers are used in patients with specific cardiovascular indications or higher blood pressure levels. Initiating a beta blocker at 135/85 mm Hg without other risk factors is not standard first-line therapy.

D. lifestyle changes: Nonpharmacologic interventions—such as reducing sodium intake, exercising regularly, limiting alcohol, and maintaining a healthy weight—are first-line treatments for patients with mildly elevated BP. These changes can help prevent progression to stage 2 hypertension and reduce cardiovascular risk.