A nurse is teaching a client who has depression about a new prescription for fluoxetine 20 mg daily. Which of the following statements by the client indicates understanding of the teaching?

A. Fluoxetine, like other SSRIs, commonly causes sexual dysfunction, including decreased libido, not improvement. B. Fluoxetine can cause insomnia, so it is typically taken in the morning, not at bedtime. C. A skin rash may indicate a serious reaction such as Stevens-Johnson syndrome or an allergic response. Clients should be instructed to notify their provider immediately if a rash develops. D. SSRIs like fluoxetine typically take 2 to 4 weeks or longer to begin improving depressive symptoms. Expecting relief in 3 to 4 days is unrealistic and may lead to nonadherence.