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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The therapeutic range for valproic acid is 50-100 mcg/mL ¹. In this case, the client has a serum range for valproic acid of 130 mcg/mL, which is above the therapeutic range but below the toxic level of >100 mcg/mL ¹. The nurse would anticipate that the provider will increase the daily dose of valproic acid to bring the serum range within the therapeutic range.
Option A is incorrect because the serum range is above the therapeutic range and changes may be needed.
Option C is incorrect because changing the medication may not be necessary if adjusting the dose can bring the serum range within the therapeutic range.
Option D is incorrect because decreasing the dose would lower the serum range further below the therapeutic range.
Correct Answer is D
Explanation
Flumazenil is a benzodiazepine antagonist that can be used as an antidote for lorazepam overdose ¹. It works by reversing the effects of benzodiazepines such as lorazepam ¹.
Option A is not correct because naloxone is an opioid antagonist and is not used to treat benzodiazepine overdose.
Option B is not correct because acetylcysteine is used to treat acetaminophen overdose and is not used to treat benzodiazepine overdose.
Option C is not correct because physostigmine is used to treat anticholinergic toxicity and is not used to treat benzodiazepine overdose.
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