What adverse effect should a nurse watch for in a client taking bupropion?

Bupropion is an atypical antidepressant that is often used for major depressive disorder and for smoking cessation. One of the known adverse effects associated with bupropion is insomnia. This occurs because bupropion can have stimulating effects, which may lead to difficulties in falling or staying asleep.

Nurses should be vigilant in monitoring clients for changes in sleep patterns, as insomnia can significantly impact a patient’s overall well-being and treatment adherence. Clients taking bupropion may also experience other side effects such as dry mouth or increased anxiety, but insomnia stands out as a significant and common concern that healthcare providers need to address promptly.

In the context of the other options, a cough, joint pain, and alopecia are not commonly associated with bupropion and are less likely to manifest as direct effects from this medication, making them less pertinent for monitoring in this scenario. Therefore, being alert for insomnia allows for timely intervention and support for the client’s overall health and medication management.