A client with bipolar disorder is prescribed carbamazepine (Tegretol). Which of the following adverse effects should be reported immediately?

Stevens-Johnson syndrome.Clozapine (Clozaril) is an atypical antipsychotic drug that can cause a rare but serious skin reaction called Stevens-Johnson syndrome, which is characterized by blisters, rash, and peeling skin. The nurse should monitor the client for any signs of skin irritation or infection and instruct the client to report them immediately.

Choice A is wrong because extrapyramidal symptoms are more common with typical antipsychotics than with atypical antipsychotics. Extrapyramidal symptoms include involuntary movements, muscle stiffness, and tremors.

Choice B is wrong because neuroleptic malignant syndrome is a life-threatening adverse reaction of antipsychotics that involves high fever, muscle rigidity, altered mental status, and autonomic instability. It is not specific to clozapine and can occur with any antipsychotic drug.

Choice D is wrong because tardive dyskinesia is a long-term adverse effect of antipsychotics that involves repetitive and involuntary movements of the tongue, jaw, face, and limbs. It is also more common with typical antipsychotics than with atypical antipsychotics.

According to web search results, carbamazepine (Tegretol) can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention.A rash is an early sign of this condition and should be reported to the health care provider as soon as possible.

Choice A is wrong because drowsiness is a common side effect of carbamazepine (Tegretol) and does not indicate a serious problem.However, the client should be advised to avoid driving or operating machinery until the drowsiness subsides.

Choice B is wrong because nausea and vomiting are also common side effects of carbamazepine (Tegretol) and can be minimized by taking the medication with food or milk.The client should be instructed to drink plenty of fluids and report any signs of dehydration or electrolyte imbalance.

Choice D is wrong because dry mouth is another common side effect of carbamazepine (Tegretol) and can be relieved by sucking on sugarless candy or ice chips, chewing sugarless gum, or using saliva substitutes.The client should also maintain good oral hygiene and have regular dental check-ups to prevent dental problems.