Correct Answer: B

Rationale: The nurse should monitor the client for hypertension as a common adverse effect of epoetin alfa, which stimulates red blood cell production and can lead to increased blood pressure.

Correct Answer: A

Rationale: To minimize the adverse effect of photophobia associated with Clomipramine, the client should be advised to wear sunglasses when outdoors. Clomipramine is a tricyclic antidepressant (TCA) known to cause anticholinergic effects like photophobia, which can be reduced by protecting the eyes with sunglasses when exposed to bright light.

Correct Answer: A

Rationale: Tinnitus should be reported by the client as it can be indicative of ototoxicity, an adverse effect associated with cisplatin therapy. Ototoxicity can result in damage to the inner ear structures, leading to hearing problems. Therefore, prompt reporting of tinnitus is essential for early intervention and prevention of potential complications.

Correct Answer: B

Rationale: Ferrous sulfate is best absorbed on an empty stomach. Instruct the client to take it 1 hour before or 2 hours after meals to maximize absorption and avoid interactions with food or beverages that may decrease absorption.

Correct Answer: D

Rationale: Acarbose can cause liver toxicity when taken long-term. Liver function tests should be monitored periodically while the client takes this medication.