A nurse is evaluating a client who recently started pregabalin for neuropathic pain. Which finding requires immediate follow-up?
1Mild dizziness when standing during the first several days of therapy.
2Occasional dry mouth that improves after taking small sips of water.
3New thoughts of self-harm that began after the medication was started.✓ Correct answer
4Mild daytime sleepiness that is improving as the client adjusts.
Explanation
Pregabalin, like other antiepileptic drugs, carries a warning for suicidal thoughts or behavior. New thoughts of self-harm require immediate safety assessment and provider notification. Dizziness, dry mouth, and somnolence are common adverse effects that still require teaching and monitoring, but improving mild symptoms are less urgent than a new suicide risk.
Clinical reasoning summary New suicidal thoughts after pregabalin begins are an immediate safety priority. Assess intent and access to means, maintain safety, and notify the provider. Common dizziness or somnolence still warrants fall and driving precautions.