You can choose to hide any updates that you don't want. Some are optional, such as the Microsoft .NET Framework 4 Client. While you may not necessarily need these type of updates, they generally don't use that much drive space, and by installing these updates, your OS is more up to date.
I've not had any problems with these type of updates, so I let them come in, and install them all. However, you can remove some of them, the one in particular, I don't know exactly what it's used for, so I'd prefer not to give the OK to remove it.
Many of these updates gives us a better experience with Windows, and some are needed to run particular apps.
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