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
Explanation
This is because pioglitazone can cause fluid retention and edema.
Choice B is wrong because tinnitus (ringing in the ears) is not a common adverse effect of pioglitazone.
Choice C is wrong because insomnia (difficulty sleeping) is not a common adverse effect of pioglitazone.
Choice D is wrong because orthostatic hypotension (a drop in blood pressure when standing up) is not a common adverse effect of pioglitazone.
Correct Answer is B
Explanation
This is because hypotension (low blood pressure) can be a sign of anaphylaxis, which is a severe allergic reaction that can occur with ceftriaxone.

Choice A is wrong because polyuria (increased urination) is not a common sign of an allergic reaction to ceftriaxone.
Choice C is wrong because nausea can be a side effect of ceftriaxone but is not specific to an allergic reaction.
Choice D is wrong because bradycardia (slow heart rate) is not a common sign of an allergic reaction to ceftriaxone.
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