Clients on corticosteroid medication should be assessed for a history of which condition?

Corticosteroids, which are often prescribed to manage inflammation and immune responses, can significantly impact the gastrointestinal system, particularly the stomach and intestines. The use of these medications can increase the risk of developing peptic ulcers due to their effects on the protective mucosal barrier and gastric acid secretion. Therefore, it is critical to assess clients for a history of ulcers before initiating corticosteroid therapy, as those with a prior history may be at increased risk for ulcer complications.

In contrast, while assessing for heart disease, asthma, and liver disease is relevant for overall patient evaluation, these conditions are not as directly influenced by corticosteroid therapy in the same manner as peptic ulcers. Heart disease may complicate treatment but is not specifically worsened by corticosteroids. Clients with asthma may actually benefit from corticosteroid use due to their anti-inflammatory properties. Liver disease can affect drug metabolism but does not have the same immediate gastrointestinal risks associated with corticosteroid therapy. Thus, evaluating for a history of ulcers is crucial to ensure safe and effective treatment with corticosteroids.