What client situation would necessitate an immediate follow-up by the nurse after discharge from the medical-surgical unit?

The situation that would necessitate immediate follow-up by the nurse pertains to the client who has a new prescription for risperidone and is reporting muscle stiffness. Risperidone, an atypical antipsychotic medication, can have side effects, including extrapyramidal symptoms such as muscle stiffness or rigidity. In this context, muscle stiffness may indicate the onset of a serious adverse reaction, such as acute dystonia or possibly neuroleptic malignant syndrome, which can be life-threatening.

When a patient experiences muscle stiffness shortly after starting a medication known to potentially cause these effects, it is crucial for the nurse to assess the situation promptly. Addressing potential complications swiftly ensures that the client receives timely intervention, which may include adjusting medication or implementing other necessary treatments.

In contrast, loose stools while taking metformin, an oral medication for managing blood glucose in Type II diabetes, may require monitoring, but it is a less immediate concern compared to the potential severe effects of risperidone. An elevated temperature of 99°F does not typically indicate an urgent medical issue in the context of rheumatoid arthritis unless other symptoms are present. Lastly, while not having a bowel movement in two days is important, if the client has chronic renal failure, it might not constitute