A nurse is caring for a client Exhibits A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following findings should the nurse report to the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)

Rationale: A. The client’s heart rate is 98/min, which is within the upper normal range. It may reflect mild anxiety, medication effects, or mild dehydration, but it is not critically abnormal and does not require immediate provider notification. B. The client is taking clozapine, an atypical antipsychotic associated with a serious adverse effect: agranulocytosis (severe neutropenia). A sore throat can be an early sign of infection due to a dangerously low white blood cell count. This symptom must be reported immediately so that a CBC with differential can be obtained and the medication potentially held to prevent life-threatening infection. C. The blood pressure is 102/56 mm Hg, which is mildly low but can be expected in clients taking antipsychotic medications like clozapine due to orthostatic hypotension. The client reports dizziness on position change, which is consistent with this known side effect and is managed with safety teaching and monitoring rather than urgent provider notification. D. The client ate 75% of breakfast, which indicates adequate oral intake. Mild nausea and dry mouth are common side effects of clozapine and do not, in isolation, require provider notification unless they significantly worsen or lead to poor intake or dehydration.