Which client population should use caution when taking fluticasone?

Using fluticasone, which is a corticosteroid, requires special consideration for clients with glaucoma. Corticosteroids can increase intraocular pressure and potentially worsen or accelerate the progression of glaucoma. Therefore, individuals with this condition should be monitored closely while using fluticasone to prevent any adverse effects on eye health.

In contrast, the other client populations listed might have specific concerns, but they do not require the same level of caution as those with glaucoma. For instance, clients with hypertension need to monitor blood pressure, but the connection to fluticasone is less direct. Clients with asthma typically benefit from corticosteroids as they help in controlling asthma symptoms, and those with a history of stroke should be assessed individually, as the medication itself does not have a direct contraindication for them. Thus, the most pertinent caution regarding the use of fluticasone revolves around its impact on ocular health, particularly in those with glaucoma.