A nurse is planning care for a client who has a prescription for alprazolam. For which of the following adverse effects should the nurse plan to monitor?

A. Manifestations of seizure activity are not a typical adverse effect of alprazolam. In fact, seizures could occur if the medication is abruptly discontinued or misused, but they are not a direct, common side effect of alprazolam. B. Inability to recall events is correct. Alprazolam, which is a benzodiazepine, has a sedative and calming effect on the central nervous system. One of the common side effects of benzodiazepines, including alprazolam, is amnesia or difficulty recalling events (also called anterograde amnesia). This occurs because of the drug's effect on memory and cognitive function. C. Increase in white blood cell count is not a known side effect of alprazolam. Benzodiazepines typically do not affect white blood cell counts, and an increase in WBC would suggest an infection or other conditions unrelated to alprazolam. D. Decreased urine output is not typically associated with alprazolam. This drug does not have significant effects on renal function or urine output, so decreased urine output is not an expected adverse effect.