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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

Propranolol is a beta-blocker that is used to treat high blood pressure and other heart conditions.

It works by slowing down the heart rate and reducing the force of heart muscle contraction.

Therefore, it is important for the nurse to assess the client’s heart rate prior to administering this medication to ensure that it is within a safe range.

Choice B is wrong because respiratory rate is not directly affected by propranolol.

Choice C is wrong because temperature is not directly affected by propranolol.

Choice D is wrong because pain level is not directly affected by propranolol.

A. "I can take two aspirin to treat headaches.” B. "I should not take an antacid within 1 hour of taking this medication.” C. "l can expect fine hand tremors when taking this medication.” D. "I should avoid dairy products when taking this medication.”

Correct Answer is B

Explanation

Ranitidine is a histamine H2-receptor antagonist that blocks histamine-mediated gastric acid secretion.

Antacids can interfere with the absorption of ranitidine, so it is important to separate their administration by at least 1 hour.
Choice A is wrong because aspirin is a type of nonsteroidal anti-inflammatory drug (NSAID) which can increase the risk of peptic ulcers.
Choice C is wrong because fine hand tremors are not a known side effect of ranitidine.
Choice D is wrong because there is no need to avoid dairy products when taking ranitidine.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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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?