Which nursing intervention(s) is/are appropriate for the client starting clonazepam? Select all that apply.

A. Monitor calcium levels: Clonazepam, a benzodiazepine, does not directly affect calcium metabolism or electrolyte balance. Routine monitoring of calcium is not indicated solely for clonazepam administration unless the client has a preexisting metabolic disorder or is receiving other medications that alter calcium. B. Assist the client to the bathroom: Clonazepam can cause sedation, drowsiness, and impaired coordination, increasing the risk of falls, especially in hospitalized clients. Providing assistance with ambulation or toileting helps prevent injury from falls or unsteady gait. C. Assess mental status regularly: Benzodiazepines can cause central nervous system depression, confusion, and changes in mood or cognition. Frequent assessment of mental status allows the nurse to detect excessive sedation, disorientation, or paradoxical reactions such as agitation or irritability. D. Have an opioid agonist at the bedside: Opioid agonists are not indicated for benzodiazepine use. Having an opioid at the bedside is unnecessary unless prescribed separately for pain management. Clonazepam overdose management focuses on supportive care and, in severe cases, flumazenil administration. E. Provide oral care at least twice a day: While general oral care is important for hospitalized clients, clonazepam does not specifically require enhanced oral hygiene. This intervention is supportive care but not directly related to benzodiazepine administration or its potential adverse effects. F. Screen for orthostatic hypotension: Clonazepam can cause hypotension or lightheadedness, particularly when standing or changing positions. Screening for orthostatic hypotension helps prevent falls and ensures client safety, especially when sedation or dizziness is present.