A patient has been prescribed intravenous (IV) famotidine.
Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?

Decreased nighttime awakenings.

Positive stool antigen test.

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

Reduced epigastric pain.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Famotidine is a type of medication known as an H2 blocker, which decreases the amount of
acid produced in the stomach. While it can indirectly lead to better sleep by reducing
discomfort, decreased nighttime awakenings is not a direct indicator of its effectiveness.
Choice B rationale
A positive stool antigen test is used to detect the presence of certain bacteria in the
gastrointestinal tract. It is not directly related to the action of famotidine.
Choice C rationale
Weight loss is not a typical result of famotidine use. If a patient experiences significant weight
loss, other causes should be investigated.
Choice D rationale
Famotidine is used to treat conditions like ulcers, gastroesophageal reflux disease (GERD), and
conditions where the stomach produces too much acid, like Zollinger-Ellison syndrome.
Reduced epigastric pain indicates that the medication is effectively reducing stomach acid and
therefore, alleviating symptoms.

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Correct Answer is A

Explanation

Benztropine is used as an adjunct therapy for the treatment of all forms of Parkinson’s disease3. It works by reducing the activity of acetylcholine, a neurotransmitter that nerve terminals release to make muscles contract3. One of the side effects of benztropine is dry mouth3. If a patient reports having a very dry mouth, the practical nurse should administer the scheduled medication and provide oral care to help alleviate the symptom3.

A. Attach the client to a continuous cardiac monitor B. Place an indwelling urinary catheter C. Give a fluid bolus D. Draw a basic metabolic panel (BMP)

Correct Answer is A

Explanation

Choice A rationale

Given the client’s high blood pressure and complaint of a headache, it is important to continuously monitor the client’s cardiac status to detect any changes that may indicate worsening condition.

Choice B rationale

Placing an indwelling urinary catheter is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.

Choice C rationale

Giving a fluid bolus is not the immediate next step in this client’s care. While it may be necessary in some cases, it is not directly related to the client’s current symptoms.

Choice D rationale

Drawing a basic metabolic panel (BMP) could be helpful in assessing the client’s overall health and kidney function, but it is not the immediate next step in this client’s care.

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A patient has been prescribed intravenous (IV) famotidine. Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?

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Naxlex Comprehensive Predictor Exams

The practical nurse (PN) is preparing to administer a scheduled dose of benztropine to a client with Parkinson’s disease. The client reports having a very dry mouth. Which action should the PN take?

Correct Answer is A

Explanation

The client’s heart rate is 96 beats per minute, blood pressure is 220/129 mmHg, and respiratory rate is 18 breaths per minute. The client is complaining of a headache. Ibuprofen was given as ordered. Furosemide 50 mg IV was also given. What should be the next step in the client’s care?

Correct Answer is A

Explanation

Choice A rationale

Choice B rationale

Choice C rationale

Choice D rationale

What action should the practical nurse (PN) instruct the client to perform prior to the instillation of nasal drops?

The practical nurse (PN) is caring for a client who has a finger stick blood glucose result of 130 mg/dL (7.21 mmol/L). Prior to administering the scheduled dose of acarbose, the PN is informed that the morning meal trays will be delayed 30 minutes. Which action should the PN take?

The practical nurse applies a preparation with keratolytic properties to both legs of a client with psoriasis. Which finding indicates the desired effect has been achieved?

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A client who is scheduled for colorectal surgery is receiving metronidazole intravenously preoperatively. Which problem should the practical nurse report to the charge nurse?

A patient has been prescribed intravenous (IV) famotidine.
Which observation would indicate to the practical nurse (PN) that the medication is having the desired effect?