The nurse is providing discharge instructions to a client who is receiving prednisone 5 mg PO daily for a rash due to contact with poison ivy. Which symptom should the nurse tell the client to report to the healthcare provider?

Choice A reason: Abdominal striae are a known side effect of long-term corticosteroid use, but they are not typically urgent or indicative of acute complications. Choice B reason: Rapid weight gain may signal fluid retention, increased appetite, or early signs of Cushingoid effects. It can also indicate serious complications like heart failure or adrenal suppression, making it a priority symptom to report. Choice C reason: Moon facies is a classic sign of chronic corticosteroid use but develops gradually and is not considered an acute concern requiring immediate reporting. Choice D reason: Gastric irritation is common with prednisone and can be managed with food or antacids. It is not as urgent as unexplained rapid weight gain.