A client in the ICU is prescribed Famotidine. Which statement best describes the reason this drug will help the client?
This drug will prevent the client from getting a bacterial infection while in the ICU.
This drug will help control the client's pain and reduce the amount of opioids needed.
This drug will help the client to breathe easier while on the ventilator
This drug will decrease gastric acid production and reduce the chance for stress ulcers.
The Correct Answer is D
A. This drug will prevent the client from getting a bacterial infection while in the ICU.: Famotidine does not have antibacterial properties and is not used to prevent infections. Its therapeutic effect is limited to reducing stomach acid secretion.
B. This drug will help control the client’s pain and reduce the amount of opioids needed.: Famotidine does not possess analgesic properties. Pain management in ICU clients typically involves opioids or non-opioid analgesics.
C. This drug will help the client to breathe easier while on the ventilator.: Famotidine does not act on the respiratory system or improve oxygenation. It is prescribed to reduce the risk of gastric irritation or aspiration, but it does not affect ventilatory mechanics or gas exchange.
D. This drug will decrease gastric acid production and reduce the chance for stress ulcers.: Famotidine is an H2 receptor antagonist that suppresses gastric acid secretion. In critically ill clients, it helps prevent stress-related mucosal damage and gastrointestinal bleeding caused by physiological stress and mechanical ventilation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Migraine headaches associated with anxiety and stress.: Scopolamine is not indicated for migraines or anxiety-related headaches. Medications such as triptans, beta-blockers, or NSAIDs are more appropriate for migraine management rather than anticholinergic agents.
B. Viral infections associated with respiratory illness.: Scopolamine has no antiviral properties and does not treat respiratory infections. Its anticholinergic effects could thicken respiratory secretions, potentially worsening congestion or airway clearance.
C. Nausea and vomiting associated with motion sickness.: Scopolamine is an anticholinergic agent that blocks acetylcholine in the vestibular system, reducing nausea, vomiting, and dizziness caused by motion sickness. It is typically administered as a transdermal patch applied behind the ear several hours before travel.
D. Constipation associated with irritable bowel syndrome.: Scopolamine may actually worsen constipation because of its anticholinergic properties that slow gastrointestinal motility. It is contraindicated in clients with bowel obstruction or chronic constipation.
Correct Answer is B
Explanation
A. Bacteriostatic.: Bacteriostatic antibiotics inhibit bacterial growth and reproduction but do not directly kill the organisms. They allow the immune system to eliminate the remaining bacteria, which may not be sufficient for severe infections like sepsis.
B. Bactericidal.: Bactericidal antibiotics destroy bacteria by interfering with essential cellular functions such as cell wall synthesis or DNA replication. These agents are preferred in life-threatening infections like sepsis because they rapidly reduce bacterial load and prevent further toxin release.
C. Disinfectant.: Disinfectants are chemical agents used on non-living surfaces to kill microorganisms. They are not used internally or systemically in humans due to their toxicity, making them inappropriate for treating infections such as sepsis.
D. Bacterial resistant.: The term “bacterial resistant” refers to microorganisms that have developed mechanisms to survive exposure to antibiotics. It describes a bacterial trait, not a type of antibiotic, and therefore cannot classify the drug prescribed.
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