Which symptom should the nurse prioritize reporting for a client recently started on escitalopram?

The symptom that should be prioritized for reporting when a client has recently started on escitalopram is a worsened mood since beginning the medication. Escitalopram, a selective serotonin reuptake inhibitor (SSRI), can initially lead to increased anxiety or mood deterioration in some patients before they start to experience the therapeutic effects. Notably, it is crucial for healthcare providers to monitor patients for any signs of worsening depression or suicidal thoughts, particularly when starting an antidepressant, as these can indicate a need for immediate intervention.

Increased sexual dysfunction can be a common side effect of SSRIs, but it typically develops over time and is not an immediate concern that requires urgent attention. Dry mouth and urinary hesitation may also occur, but they are generally less critical in terms of immediate safety compared to a significant change in mood. Review of dietary restrictions related to MAO inhibitors is more relevant for patients on such medications and not pertinent to someone starting an SSRI like escitalopram. Thus, recognizing a change in mood as an urgent symptom allows for prompt assessment and appropriate care.