A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include?

Rationale: A. A dry cough is not a common adverse effect of sertraline. Dry cough is more often associated with medications such as ACE inhibitors (e.g., lisinopril), not selective serotonin reuptake inhibitors (SSRIs). B. Increased urinary frequency is not a typical adverse effect of sertraline. While SSRIs can occasionally affect urinary function, urinary frequency is not a common or expected finding with this medication. C. A metallic taste (dysgeusia) is not a characteristic adverse effect of sertraline. This symptom is more commonly associated with medications such as metronidazole or certain antibiotics. D. Excessive sweating (diaphoresis) is a known adverse effect of sertraline and other SSRIs. It occurs due to increased serotonin activity affecting thermoregulation in the hypothalamus. Clients may report night sweats or generalized increased sweating, which should be monitored but is usually not life-threatening.