A client with benign prostatic hyperplasia receives a new prescription of tamsulosin. Which intervention should the nurse perform to monitor for an adverse reaction?

Choice A reason: Breast feeding is not recommended while taking this medication, as isotretinoin can pass into breast milk and harm

the nursing infant. However, this information is not as important as choice d, as the client may not be breast feeding or planning to breast feed.

Choice B reason: Baseline liver function results must be obtained during therapy, as isotretinoin can cause liver damage and increase liver enzymes. However, this information is not as important as choice d, as the client may not have liver problems or need liver function tests.

Choice C reason: Do not take multiple vitamins that contain vitamin A while taking this drug, as isotretinoin is a derivative of vitamin A and can cause vitamin A toxicity if taken in excess. However, this information is not as important as choice d, as the client may not take multiple vitamins or have vitamin A toxicity.

Choice D reason: Discontinue this medication one month before attempting to conceive, as isotretinoin can cause severe birth defects and miscarriages if taken during pregnancy. Therefore, this information is most important for the nurse to provide this client, as the client is planning to become pregnant and should avoid isotretinoin exposure.

Choice A reason: Ferrous sulfate is best absorbed on an empty stomach, so waiting 2 hours after meals to take the tablet will enhance its effectiveness. Food can interfere with iron absorption, especially dairy products, eggs, coffee, tea, and antacids.

Choice B reason: Bedtime is not the best time to take the tablet, because lying down after taking iron can cause gastrointestinal upset, such as nausea, vomiting, constipation, or diarrhea. The client should take the tablet with a full glass of water and remain upright for at least 30 minutes.

Choice C reason: Taking the tablet with a daily multivitamin is not recommended, because some vitamins and minerals can reduce iron absorption, such as calcium, zinc, copper, and vitamin E. The client should avoid taking iron with other supplements unless advised by the healthcare provider.

Choice D reason: Crushing the tablets and mixing with pudding is not advisable, because enteric-coated tablets are designed to dissolve slowly in the intestine and protect the stomach from irritation. Crushing them will destroy their coating and reduce their effectiveness. The client should swallow the tablets whole and not chew or crush them.