Exhibits The nurse reviews the healthcare providers (HCP) prescription for clonazepam and gives the medication as prescribed. Which nursing intervention(s) is/are appropriate for the client starting clonazepam? Select all that apply.
Explanation & Rationale
A. Have an opioid agonist at the bedside is not necessary because clonazepam is a benzodiazepine, and its administration does not typically require an opioid agonist as a safety measure. This choice is not relevant to clonazepam. B. Monitoring calcium levels is not a standard nursing intervention for a patient starting clonazepam. This medication does not typically affect calcium levels. C. Clonazepam can cause dry mouth, making good oral hygiene important to prevent complications such as dental caries or oral infections. Regular oral care helps maintain oral health. D. Clonazepam can cause sedation and dizziness, increasing the risk of falls. Assisting the client to the bathroom helps ensure their safety while they may be adjusting to the medication. E. Benzodiazepines, including clonazepam, can cause sedation and dizziness, leading to orthostatic hypotension. Monitoring for this condition is important to prevent falls and ensure the client’s safety. F. Regular assessment of mental status is crucial as clonazepam can cause drowsiness, confusion, or cognitive impairment, especially in older adults. Monitoring helps detect any adverse effects early on.