What discharge teaching should a client with epilepsy receive when starting clonazepam three times daily? (Select all that apply.)

A. Tolerance can develop over time and lead to the need for higher doses – This is correct because long-term use of clonazepam, like other benzodiazepines, can result in tolerance, potentially necessitating higher doses to achieve the same therapeutic effect.

B. Skip a dose if you need to drive – This is incorrect. Clients should be advised to take their medication as prescribed and consult their healthcare provider about driving, as clonazepam can impair coordination and reaction times.

C. Skip a dose if you plan to go out drinking with friends – This is incorrect. While it’s important to avoid alcohol when taking clonazepam due to the increased risk of sedation and respiratory depression, clients should not skip doses without consulting their healthcare provider.

D. Do not try to taper yourself off this medication without physician guidance – This is correct. Stopping clonazepam suddenly can lead to withdrawal symptoms and seizure recurrence, so any changes in medication should always be done under the guidance of a healthcare provider.

Diazepam is a benzodiazepine medication used to treat anxiety disorders. It works by enhancing the activity of certain neurotransmitters in the brain. A therapeutic outcome for this medication would be a decrease in anxiety and an improved ability to cope with stress.
Option B is not correct because it does not indicate whether the medication is effective or not.
Option C is not correct because it indicates that the client does not see a change in their symptoms.
Option D is not correct because it indicates that the client is self-medicating and increasing their dose without consulting their healthcare provider.