A nurse is caring for a client who received neostigmine 1 hr ago and is experiencing a muscarinic response.
Which of the following manifestations should the nurse expect?
Occipital headache.
Fever.
Excessive salivation.
Myoclonic seizure.
The Correct Answer is C

Neostigmine is an anticholinesterase inhibitor that indirectly stimulates both nicotinic and muscarinic receptors by interfering with the breakdown of acetylcholine.
Stimulation of muscarinic receptors can lead to increased salivation.
Choice A is wrong because an occipital headache is not a manifestation of a muscarinic response to neostigmine.
Choice B is wrong because fever is not a manifestation of a muscarinic response to neostigmine.
Choice D is wrong because a myoclonic seizure is not a manifestation of a muscarinic response to neostigmine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Long-term use of prednisone can lead to a decrease in bone density and an increased risk of osteoporosis.
Consuming a diet high in calcium can help to maintain bone health and reduce the risk of osteoporosis.
Choice A is wrong because while it is important for individuals taking prednisone to receive immunizations, they should not receive live vaccines due to the immunosuppressive effects of prednisone.
Choice B is wrong because prednisone can cause hypertension, not hypotension.
Choice C is wrong because prednisone can cause hyperglycemia, not hypoglycemia.
Correct Answer is B
Explanation

This is because naloxone is an opioid antagonist that rapidly reverses an opioid overdose by attaching to opioid receptors and reversing and blocking the effects of other opioids.
It can quickly restore normal breathing to a person if their breathing has slowed or stopped because of an opioid overdose.
Choice A is wrong because decreased nausea is not a therapeutic effect of naloxone.
Choice C is wrong because decreased blood pressure is not a therapeutic effect of naloxone.
Choice D is wrong because increased pain relief is not a therapeutic effect of naloxone.
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