A nurse is educating a client about how to recognize side effects of fluconazole. Which client statement indicates an understanding of the teaching?

A. Tinnitus, or ringing in the ears, is not a known or expected adverse effect of fluconazole. If a client experiences ringing in the ears while taking fluconazole, it may indicate an uncommon side effect, drug toxicity, or interaction with other medications. The client should report this symptom to a healthcare provider rather than assume it is normal. B. Mild tremors are not an expected effect of fluconazole. Any new neurological symptoms, including tremors, could indicate an adverse reaction or toxicity. Clients should notify their healthcare provider immediately if they develop tremors, rather than continuing the medication without evaluation. C. Yellowing of the skin or eyes, known as jaundice, is a classic sign of hepatotoxicity, a serious adverse effect of fluconazole. Fluconazole is metabolized by the liver, and liver function should be monitored in clients taking this medication, especially if they have preexisting liver disease. Recognizing jaundice early and reporting it promptly allows for timely intervention, which may include discontinuing the medication and performing liver function tests. D. Increased urination and thirst are not expected side effects of fluconazole. These symptoms may indicate another underlying condition, such as diabetes or electrolyte imbalance, and should be evaluated separately. Assuming these symptoms are normal could delay diagnosis and treatment of a potentially serious condition.