A nurse is preparing to witness a client's signature on an informed consent for a total knee arthroplasty. Which of the following client stat indicates the nurse should contact the surgeon?

A. Blurred vision: Blurred vision can occur as a side effect of clozapine due to anticholinergic properties. While it may cause discomfort or temporary visual disturbances, it is not immediately life-threatening and does not require urgent reporting to the provider.

B. Dry mouth: Dry mouth is a common and expected anticholinergic side effect of clozapine. Although it can contribute to dental issues if persistent, it does not indicate a serious or emergent complication and can often be managed with hydration or saliva substitutes.

C. Fever: Fever is the highest priority symptom to report because it can indicate agranulocytosis, a rare but potentially life-threatening side effect of clozapine. Agranulocytosis compromises the immune system, increasing the risk of severe infections, making early detection and intervention critical.

D. Constipation: Constipation is a common side effect due to clozapine’s anticholinergic effects. While it should be monitored and managed to prevent complications such as bowel obstruction, it is not immediately life-threatening compared to signs of infection like fever.

A. Case manager: A case manager coordinates care for clients with chronic conditions or complex health needs. For a newborn with an atrial septal defect, the case manager can arrange follow-up appointments, provide education to the family about monitoring for symptoms, and ensure access to cardiology services. This referral supports continuity of care and helps prevent complications.

B. Physical therapist: Physical therapy focuses on improving mobility, strength, and motor function. While important for certain conditions, a newborn with an atrial septal defect typically does not require routine physical therapy unless there are additional developmental or musculoskeletal concerns. It is not the primary referral for cardiac follow-up.

C. Occupational therapist: Occupational therapy helps clients develop fine motor skills and perform daily activities. For a newborn with a heart defect, OT is usually not indicated unless developmental delays or feeding difficulties are present. Cardiac management and follow-up are more urgent concerns at discharge.

D. Nurse manager: The nurse manager oversees nursing staff and unit operations rather than providing direct patient follow-up or discharge planning. Referral to the nurse manager does not address the newborn’s ongoing care needs after discharge and is not part of standard interprofessional follow-up for an atrial septal defect.