Ms. Aris is also prescribed fluticasone, which is an inhaled corticosteroid. The nurse is teaching the client how to use multiple inhalers. Which instruction is the most important to include?

Use the bronchodilator first, then wait 5 minutes before using the steroid inhaler.

Always use the fluticasone first to prepare the lungs for the other medications.

You should wait at least 5 minutes between puffs of the same medication.

Rinse your mouth with water only after using the albuterol inhaler.