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
Colchicine and allopurinol are commonly used to manage gout. Colchicine can cause gastrointestinal side effects, including diarrhea. Therefore, it’s important for patients to report any such symptoms to their healthcare provider.
Choice B rationale
While a low-grade fever could potentially be a side effect of many medications, it is not specifically associated with colchicine or allopurinol.
Choice C rationale
Anorexia is not a common side effect of either colchicine or allopurinol.
Choice D rationale
Thinning hair is not a common side effect of either colchicine or allopurinol.
Correct Answer is D
Explanation
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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