Which statement is of most concern? A 30-year old woman who has been taking isotretinoin (Accutane) to treat severe cystic acne make all these statements while being seen for a follow-up examination.

€œMy husband and I are thinking of starting a family soon.”

Isotretinoin (Accutane) is associated with a high incidence of birth defects. it is important that the client stops using the medication at least a month before attempting to become pregnant.Options A and C: Poor night vision and nausea are possible adverse effects of isotretinoin that would require further assessment but are not as urgent as discussing but are not as urgent as discussing the fetal risks associated with this medication.Option D: The clients concern about the effectiveness of the medication should be addressed. but this is a low-priority intervention.