A nurse is reviewing a pamphlet about sertraline with a client who has post-traumatic stress disorder. Which of the following client statements indicates understanding of the information?

Choice A reason: Excessive sweating and muscle twitching are potential signs of serotonin syndrome, a serious and potentially life-threatening adverse effect of sertraline and other SSRIs. Recognizing these symptoms and reporting them immediately to the provider demonstrates appropriate understanding of the medication’s risks. This response shows the client is aware of when to seek urgent medical attention. Choice B reason: A dry cough is not a common or expected side effect of sertraline. This symptom is more often associated with ACE inhibitors used for hypertension. Associating sertraline with a dry cough reflects a misunderstanding of the medication’s side effect profile. Choice C reason: Decreasing sodium intake is not required when taking sertraline. Sodium restriction is relevant for conditions such as hypertension or heart failure, but it is not a precaution with SSRIs. This statement shows a lack of understanding of the medication. Choice D reason: Harmless, temporary changes to taste and smell are not typical side effects of sertraline. SSRIs are more commonly associated with gastrointestinal upset, sexual dysfunction, or sleep disturbances. This statement reflects inaccurate information.