In assessing a client medicated with alprazolam, what finding suggests a side effect of the medication?

The identification of confusion as a side effect of alprazolam is supported by the medication's classification as a benzodiazepine, which is commonly prescribed for anxiety and panic disorders. Benzodiazepines can lead to CNS (central nervous system) depression, affecting cognitive functions such as memory, attention, and clarity of thought. Confusion in patients, particularly among the elderly or those taking higher doses, can indicate over-sedation or an adverse reaction to the drug.

In contrast, increased energy levels, clear thinking, and enhanced focus do not align with the typical effects of alprazolam. Instead, these characteristics are more often associated with stimulants or medications that boost cognitive performance, not with the sedative properties of benzodiazepines. Therefore, confusion stands out as a legitimate concern when evaluating potential side effects in a client taking alprazolam.