The client prescribed clonazepam (Klonopin) asks the nurse why the medication dose needs to be adjusted. What is the best response by the nurse?
1. "Tolerance can begin to develop after only a few months of therapy, and seizures can recur unless doses are periodically adjusted."
2. "Your dose will be decreased every month until you begin to have seizures again."
3. "Your body stores this drug, and you will need a lower dose of the medication now."
4. "The physician will not need to adjust your medication dose."
Correct Answer: 1
Rationale 1: Doses of benzodiazepines such as clonazepam need to be adjusted after a few months of therapy to prevent seizures from reoccurring.
Rationale 2: "Your dose will be decreased every month until you begin to have seizures again" is incorrect because the dose will be adjusted, because tolerance develops after a few months of therapy.
Rationale 3: "Your body stores this drug, and you will need a lower dose of the medication now" is incorrect because the body does not store this medication.
Rationale 4: "The physician will not need to adjust your medication dose" is incorrect because the client will develop tolerance after a few months of drug therapy.
Global Rationale: Doses of benzodiazepines such as clonazepam need to be adjusted after a few months of therapy to prevent seizures from reoccurring. "Your dose will be decreased every month until you begin to have seizures again" is incorrect because the dose will be adjusted, because tolerance develops after a few months of therapy. "Your body stores this drug, and you will need a lower dose of the medication now" is incorrect because the body does not store this medication. "The physician will not need to adjust your medication dose" is incorrect because the client will develop tolerance after a few months of drug therapy.
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