Analyze the following clinical manifestations and determine whether they are characteristic of Anticholinergic or Cholinergic Toxicity.

A. "Limit your fluid intake to meal times.": Fluid restriction is not a standard recommendation for patients taking Verapamil unless they have another condition like heart failure. Adequate hydration is important, especially to counter constipation, a known side effect of the drug.
B. "You can expect swelling of the ankles while taking this medication.": While peripheral edema is a known side effect of Verapamil, it is not something patients should expect or accept without reporting. Significant swelling may require dose adjustment or switching medications.
C. "This medication will not affect your heart rate": Verapamil is a calcium channel blocker that slows AV node conduction and reduces heart rate. It is used for conditions like hypertension, angina, and arrhythmias, and can cause bradycardia, especially in high doses.
D. "Increase your daily intake of dietary fiber.": Verapamil frequently causes constipation by decreasing gastrointestinal motility. Increasing dietary fiber, fluid intake, and physical activity are recommended to minimize this side effect and promote regular bowel movements.

A. "The oral medication you will take after this IV will dissolve the clot.": Oral anticoagulants like warfarin also do not dissolve existing clots. They work similarly to heparin by preventing the formation of new clots and allowing the body’s natural fibrinolytic mechanisms to break down existing ones over time.
B. "Heparin does not dissolve clots. It stops new clots from forming.": This is the most accurate explanation. Heparin is an anticoagulant that enhances antithrombin activity, inhibiting clotting factors and preventing clot propagation, but it does not actively lyse or dissolve clots.
C. "It usually takes heparin at least 2 to 3 days to reach a therapeutic blood level.": Heparin given intravenously has a rapid onset of action, often within minutes. Therapeutic levels are typically reached quickly with continuous infusion, so this statement is inaccurate.
D. "A pharmacist is the person to answer that question.": While pharmacists are valuable for drug-related questions, nurses are expected to provide basic patient education regarding medications, including mechanism of action, especially during bedside care.