A nurse is caring for a client who is at a follow-up appointment. The client was started on clozapine 3 months ago. Which of the following statements indicates an understanding of the teaching?

Choice A reason: Hypoglycemia is not a common adverse effect of clozapine. Clozapine is more associated with metabolic syndrome, including hyperglycemia, weight gain, and dyslipidemia. Choice B reason: Hypertension is not a typical side effect of clozapine. The medication is more likely to cause orthostatic hypotension, especially during initiation. Choice C reason: While cardiac monitoring may be necessary if myocarditis or cardiomyopathy is suspected, routine heart monitoring every two months is not standard unless symptoms arise. The priority is hematologic monitoring. Choice D reason: Weekly lab work for 6 months is required to monitor for agranulocytosis, a potentially fatal adverse effect of clozapine. Regular absolute neutrophil count (ANC) monitoring is mandated to detect early signs of bone marrow suppression and ensure safe continuation of therapy.