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 ["A","C","D"]
Explanation
When self-administering enoxaparin, the client should “Insert the entire length of the needle into the skin during injection” 1, “Grasp the skin between the thumb and forefinger while injecting the medication” , and “Alternate injection sites between the sides of the abdomen”
Choice B is wrong because the client should not massage the insertion site after injecting the medication.
Choice E is incorrect because the client should not expel the air bubble from the prefilled syringe.
The air bubble helps to ensure that all of the medication is injected and prevents leakage from the injection site.
Correct Answer is D
Explanation
Lovastatin is a lipid-lowering medication that belongs to the statin drug class.
It is used to treat and prevent coronary heart disease and hypercholesterolemia.
Before starting therapy with lovastatin, liver function tests should be performed to establish a baseline and monitor for any potential adverse effects on the liver.
Choice A is wrong because Western blot analysis, is not the correct answer because it is a laboratory technique used to detect specific proteins in a sample, not to monitor liver function.
Choice B is wrong because Pancreatic enzymes, is not the correct answer because it refers to enzymes produced by the pancreas that aid in digestion, not liver function.
Choice C is wrong because Exercise electrocardiography, is not the correct answer because it is a diagnostic test used to assess the heart’s response to physical stress, not liver function.
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