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    Hesi rn 315 pharmacology proctored exam

    A male client with a newly diagnosed seizure disorder starts a prescription for clonazepam. One week later, the nurse observes that his speech is slurred and he has an ataxic gait. Which action should the nurse implement?

    Explanation & Rationale

    A. Explain the need to refrain from alcohol use while taking the drug: Although avoiding alcohol is very important when taking clonazepam due to increased central nervous system depression, the client’s current symptoms of slurred speech and ataxia are concerning side effects that must be addressed first through immediate clinical intervention rather than just education. B. Document the client's continued seizure activity: Slurred speech and ataxia are not typical signs of seizure activity; they are more indicative of central nervous system depression or toxicity from clonazepam. Simply documenting the symptoms without further action could delay critical treatment adjustments. C. Advise the client to discontinue the medication immediately: Abruptly stopping clonazepam can lead to withdrawal seizures and other serious complications. Medication discontinuation should always be managed carefully under the direction of the healthcare provider to prevent additional risks. D. Report these side effects to the healthcare provider: Slurred speech and an ataxic gait suggest clonazepam toxicity or overdose. Promptly notifying the healthcare provider allows for dosage adjustment or possible medication change, which is essential to prevent worsening central nervous system depression and maintain patient safety.

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