The client with coronary artery disease (CAD) is prescribed nicotinic acid (Niacin). The client reports flushing of the face, neck and ears. Which priority intervention should the nurse implement?

A. Instruct the client to stop taking the medication immediately: Stopping niacin due to flushing alone is not warranted unless more serious side effects occur. Flushing is a common and manageable reaction and not a reason to discontinue therapy without provider input. B. Encourage the client to take medication with meals only: Taking niacin with meals can help reduce gastrointestinal upset but does little to alleviate the flushing side effect. While it's a helpful practice, it is not the most effective or targeted intervention for flushing. C. Discuss that this is a normal side effect and will decrease with time: Although flushing is a common effect that may diminish over time, this response does not actively help the client manage discomfort or adhere to treatment. D. Tell the client to take 325 mg of aspirin 30 minutes before taking the medication: Taking aspirin before niacin helps block prostaglandin-mediated vasodilation, thereby reducing flushing. This is the most effective strategy for minimizing this side effect and improving medication adherence.