What discharge teaching should a client with epilepsy receive when starting clonazepam three times daily? (Select all that apply.)
Tolerance can develop over time and lead to the need for higher doses.
Skip a dose if you need to drive.
Skip a dose if you plan to go out drinking with friends.
Do not try to taper yourself off this medication without physician guidance.
Correct Answer : A,D
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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The nurse would want to have flumazenil readily available in case benzodiazepine reversal is needed. Flumazenil is a medication used to reverse the effects of benzodiazepines such as lorazepam ¹. It can be used to help a person wake up after a medical procedure in which a benzodiazepine was used as a sedative or to treat a benzodiazepine overdose ¹.
Option A is incorrect because physostigmine is not used to reverse the effects of benzodiazepines.
Option B is incorrect because naloxone is used to reverse the effects of opioids, not benzodiazepines.
Option D is incorrect because syrup of ipecac is not used to reverse the effects of benzodiazepines.
Correct Answer is B
Explanation
It is important for the nurse to understand why the client is refusing to take the medication. There may be underlying reasons such as side effects, fear, or misunderstanding about the medication. By investigating and addressing these concerns, the nurse can help the client make an informed decision about their treatment.
Option A may not address the underlying reasons for noncompliance and could be perceived as confrontational.
Option C may be appropriate after understanding the reasons for noncompliance and discussing them with the provider.
Option D may also be appropriate in some cases, but it is important to first understand the reasons for noncompliance before involving a social worker.
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