Which statement made by the client indicates a NEED FOR FURTHER INSTRUCTION regarding corticosteroid therapy?

A. "I can take my medication with food to prevent gastrointestinal distress.": Taking corticosteroids with food helps reduce gastrointestinal irritation and the risk of ulcers. This demonstrates proper understanding of how to minimize common side effects of corticosteroid therapy. B. "I should consult my healthcare provider before getting any vaccinations.": Corticosteroids suppress the immune system, so live vaccines may be contraindicated, and immune responses to vaccines can be reduced. This shows correct knowledge regarding infection prevention. C. "I may develop low blood sugar and need additional glucose.": Corticosteroids typically cause hyperglycemia, not hypoglycemia, especially in patients with diabetes or impaired glucose tolerance. This statement indicates a misunderstanding and a need for further instruction about the metabolic effects of corticosteroid therapy. D. "I should not stop taking my medication abruptly.": Abrupt discontinuation of corticosteroids can lead to adrenal insufficiency due to suppression of the hypothalamic-pituitary-adrenal axis. This statement reflects correct patient understanding of safe medication discontinuation.