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    Hesi bsn 315 rn pharmacology 35504 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. Advise the client to discontinue the medication immediately: Abruptly stopping clonazepam can cause withdrawal seizures and other serious effects. Medication changes should only be made under healthcare provider guidance. B. Explain the need to refrain from alcohol use while taking the drug: Alcohol can worsen CNS depression caused by clonazepam, but addressing the client’s current neurological symptoms requires immediate attention beyond alcohol avoidance education. C. Document the client’s continued seizure activity: Slurred speech and ataxia are signs of medication side effects or toxicity rather than seizure activity. Documentation alone is insufficient without reporting these concerning symptoms. D. Report these side effects to the healthcare provider: Slurred speech and ataxic gait suggest clonazepam toxicity or excessive sedation. Promptly notifying the healthcare provider is essential for medication evaluation and ensuring client safety.

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