A patient has been administered famotidine.

Which observation would suggest that the medication has not had its intended effect?

The patient complains of a persistent cough.

The patient denies experiencing a sour taste in their mouth.

The pH level of the patient’s stomach is measured at 5.

The patient reports experiencing headaches.

Answer and Explanation

The Correct Answer is C

Choice A rationale
A persistent cough is not directly related to the administration of famotidine. Famotidine is a histamine-2 blocker that works by decreasing the amount of acid the stomach produces. It is used to treat and prevent ulcers in the stomach and intestines and to treat conditions in which the stomach produces too much acid. A persistent cough could be a symptom of many other conditions, but it is not a direct indicator of the effectiveness or ineffectiveness of famotidine.
Choice B rationale
The absence of a sour taste in the mouth, often associated with acid reflux, could suggest that famotidine is working as it should. However, the absence of a sour taste does not definitively indicate that the medication has had its intended effect, as the patient may not have experienced this symptom even before taking the medication.
Choice C rationale
Famotidine is used to decrease the amount of acid in the stomach. A normal stomach pH is typically around 1.5 to 3.5, which is highly acidic. If a patient’s stomach pH is measured at 5, which is less acidic than normal, it could suggest that the famotidine has not had its intended effect of reducing stomach acid.
Choice D rationale
While headaches are listed as a common side effect of famotidine, the presence of headaches does not necessarily suggest that the medication has not had its intended effect. Headaches could be caused by a variety of factors and are not a direct indicator of the level of stomach acid or the effectiveness of famotidine.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale
While staying hydrated is generally good advice, drinking at least 2 liters of water a day is not specifically related to preventing antibiotic resistance.
Choice B rationale
Taking antibiotics on-time around the clock is crucial for maintaining therapeutic levels of the medication in the body. This helps to effectively kill the bacteria and prevent them from developing resistance.
Choice C rationale
Eating a serving of yogurt every day can help maintain gut health during antibiotic treatment, but it does not directly prevent antibiotic resistance.
Choice D rationale
Stopping antibiotics when symptoms resolve can actually contribute to antibiotic resistance. Even if symptoms have improved, bacteria may still be present. Stopping treatment early gives these bacteria a chance to survive and develop resistance.

A. “I will call my doctor right away.”. B. “I will rest until the symptoms pass.”. C. “I will take an oral form of glucose.”. D. “I will give myself the regular insulin.”.

Correct Answer is C

Explanation

Choice A rationale
While it’s important to keep your doctor informed about your blood glucose levels, a single reading of 57 mg/dL may not require immediate medical attention. However, if hypoglycemia symptoms persist or the patient has repeated episodes of low blood sugar, they should contact their healthcare provider.
Choice B rationale
Resting until the symptoms pass is not an appropriate response to hypoglycemia. Without treatment, hypoglycemia can lead to serious complications, including loss of consciousness or seizures.
Choice C rationale
Taking an oral form of glucose is the correct response when experiencing hypoglycemia. This could be in the form of glucose tablets, juice, or other fast-acting carbohydrates.
Choice D rationale
Giving oneself regular insulin when blood glucose is low could further lower blood glucose levels and worsen hypoglycemia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A patient has been administered famotidine. Which observation would suggest that the medication has not had its intended effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is being discharged on a home course of antibiotics. What education should the nurse provide as an effective way to prevent antibiotic resistance?

Correct Answer is B

Explanation

The nurse has provided education to a patient with diabetes who is starting on insulin injections. The nurse asks the patient, “What should you do if your fasting blood glucose is 57 mg/dL?” Which response by the patient would indicate an understanding of the education provided?

Correct Answer is C

Explanation

A client with asthma has been taking prednisone daily for two years and is now in the emergency department complaining of back pain. An MRI of the spine shows a compression fracture of a vertebra. Which adverse effect of prednisone is most likely associated with these findings?

A patient has been prescribed radioactive iodine in preparation for a total thyroidectomy due to thyroid cancer. What advice about taking the medication should the nurse provide?

A client is prescribed milk of magnesia. After reviewing the client’s lab results, which potential electrolyte imbalance is the nurse concerned about?

The nurse is administering a vancomycin infusion. What measure should the nurse implement to reduce complications that may occur with this drug’s administration?

A patient with diabetes who is on oral hypoglycemic medication has been prescribed levofloxacin. What should the nurse include in the patient’s education?

A laxative has been ordered for a patient. The nurse checks the patient’s medical history and would be concerned if which condition is present?

A patient has been administered famotidine.

Which observation would suggest that the medication has not had its intended effect?