A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?

Reduced epigastric pain.

Decrease in nighttime awakenings.

Positive stool antigen test.

Loss of 3 pounds (1.36 kg) in a month.

Answer and Explanation

The Correct Answer is A

Choice A reason: Reduced epigastric pain indicates that the famotidine is effectively reducing gastric acid production and alleviating symptoms.

Choice B reason: Decreased nighttime awakenings may be an indirect benefit but is not a direct measure of the medication's effectiveness.

Choice C reason: A positive stool antigen test is not relevant to assessing the effectiveness of famotidine.

Choice D reason: Loss of weight is not a direct measure of famotidine's effectiveness.

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Correct Answer is ["100"]

Explanation

First, convert the client's weight from kilograms to pounds:
- 1 kg = 2.2 lbs
- Step 1: 90 kg × 2.2 lbs/kg = 198 lbs
Since the client weighs less than 265.5 pounds, the protocol specifies cefazolin 2 grams/100 mL over 1 hour.
Determine the flow rate in mL/hr:
- The total volume to be infused is 100 mL.
- The infusion time is 1 hour.
- Step 2: 100 mL ÷ 1 hour = 100 mL/hr

Therefore, the nurse should program the pump to deliver 100 mL/hr.

A. Explain to the caregiver that insomnia is a common and temporary side effect when the medication is first started. B. Advise the caregiver that the purpose of the medication is to promote sleep, so a change in medication may be needed. C. Instruct the caregiver to withhold the medication until the dosage can be decreased to ensure the client's safety. D. Notify the healthcare provider that the dosage of the medication may need to be increased to manage the client's insomnia.

Correct Answer is A

Explanation

Choice A reason: Insomnia can be a common and temporary side effect when starting rivastigmine. Educating the caregiver about this potential side effect helps them understand that it may resolve over time and reassures them about the safety of the medication.

Choice B reason: Advising that the purpose of the medication is to promote sleep is incorrect. Rivastigmine is used to improve cognitive function in Alzheimer's disease, not specifically to promote sleep.

Choice C reason: Instructing the caregiver to withhold the medication without consulting the healthcare provider is not advisable. Adjusting or discontinuing medication should always be done under medical supervision.

Choice D reason: Notifying the healthcare provider about increasing the dosage for insomnia is inappropriate. The focus should be on managing the side effect without altering the intended therapeutic effect of the medication.

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A client receives a prescription for IV famotidine. Which finding indicates to the nurse the medication is effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["100"]

Explanation

During a home visit, the nurse assesses a client with Alzheimer's disease who recently started a new prescription for rivastigmine. The caregiver reports that the client seems to be thinking more clearly but is not sleeping well at night. Which action should the nurse take?

Correct Answer is A

Explanation

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