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?

The correct answer is Choice C.

Choice A rationale:

• This response is not appropriate because it is judgmental and may make the client feel defensive.
• It is important for the nurse to respect the client's right to make their own decisions about their health care.
• Telling the client what they should do can undermine their autonomy and potentially damage the nurse-client relationship.
• It's crucial for the nurse to remain objective and avoid imposing their personal opinions or beliefs onto the client.

Choice B rationale:

• This response is also not appropriate because it is using scare tactics to try to persuade the client to get the vaccine.
• This approach can be counterproductive and may further alienate the client.
• It's important to provide accurate information about the risks and benefits of the vaccine in a neutral and non-threatening manner.

Choice C rationale:

• This is the most appropriate response because it acknowledges the client's right to refuse the vaccine while still encouraging them to get it.
• It also demonstrates respect for the client's autonomy and validates their feelings.
• This approach is more likely to foster a positive nurse-client relationship and keep the door open for future discussions about vaccination.

Choice D rationale:

• This response is not accurate because the influenza vaccine is not mandatory for all clients before discharge.
• It is important for the nurse to provide accurate information to the client.
• Threatening the client with an against medical advice form is not appropriate and may be considered a form of coercion.

Heparin therapy is used to prevent thrombus propagation and distal embolization while allowing the endogenous fibrinolytic system to dissolve existing clots in deep-vein thrombosis (DVT)1.

A reduction in calf circumference may indicate that the clot is dissolving and the therapy is effective.

Choice A is wrong because platelets within the expected reference range do not necessarily indicate that heparin therapy for DVT is effective.

Choice B is wrong because INR (International Normalized Ratio) is used to monitor warfarin therapy, not heparin therapy.

Choice C is wrong because the presence of pedal pulses bilaterally does not necessarily indicate that heparin therapy for DVT is effective.