Which of the following symptoms should prompt immediate contact with the chain of command when administering psychotropic medication?

Fever or sore throat is a critical symptom that should prompt immediate contact with the chain of command when administering psychotropic medication. This is particularly important because these symptoms can indicate a potentially serious condition known as agranulocytosis, which is a reduction in white blood cell count that can occur as a side effect of certain antipsychotic medications. Agranulocytosis increases the risk of infection, and a fever or sore throat could indicate that the patient is facing a serious health risk, necessitating immediate medical evaluation and intervention.

In contrast, initial dizziness and headache, increased appetite, and minor digestive issues, while they may be uncomfortable or concerning, are typically not considered emergencies requiring immediate action. These symptoms can often be managed with observation and communication but do not usually indicate a life-threatening reaction to the medication. Thus, the presence of fever or sore throat stands out as a symptom warranting prompt escalation to ensure patient safety.