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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
If a child undergoing a blood transfusion complains of itchy skin and appears flushed, these
could be signs of a transfusion reaction. The PN should stop the transfusion immediately.
Choice B rationale
While inspecting the infusion site is a part of regular monitoring during a transfusion, it would
not typically be the first action in response to symptoms of a possible transfusion reaction.
Choice C rationale
Applying lotion to the skin would not address the underlying issue if the child is experiencing a
transfusion reaction.
Choice D rationale
Checking the vital signs is important, but the first action should be to stop the transfusion if a
reaction is suspected.
Correct Answer is B
Explanation
Choice A rationale
Hand tremors are not a common side effect of drospirenone.
Choice B rationale
Heart palpitations are a serious side effect of drospirenone and should be reported to the healthcare provider immediately.
Choice C rationale
Decreased reflexes are not a common side effect of drospirenone.
Choice D rationale
Loss of energy is not a common side effect of drospirenone.
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