Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is a distinct advantage of using the CVAD for chemotherapeutic agent administration?

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ATI Proctored Exam Pharmacology Questions

Question 1 of 5

Central venous access devices (CVADs) are frequently utilized to administer chemotherapy. What is a distinct advantage of using the CVAD for chemotherapeutic agent administration?

Correct Answer: C

Rationale: Central venous access devices (CVADs) are advantageous for chemotherapy administration because they allow caustic or vesicant drugs to be delivered directly into larger veins, reducing the risk of vein irritation, thrombosis, or extravasation. While CVADs may have other benefits, such as long-term use and reduced need for repeated IV insertions, their primary advantage in chemotherapy is the safe administration of potentially damaging agents. Home administration and cost are secondary considerations.

Question 2 of 5

Which of the following antihypertensives act on the vasomotor centre:

Correct Answer: B

Rationale: Prazosin, an alpha-1 blocker, acts peripherally, not on the vasomotor center. Methyldopa, a centrally acting α2 agonist, reduces sympathetic outflow from the vasomotor center, a true statement lowering blood pressure. Hydralazine dilates arteries directly, not centrally. Reserpine depletes catecholamines peripherally and centrally but isn't primarily vasomotor-focused. Losartan (likely misspelled) is an ARB, peripheral. Methyldopa's central action is key in pregnancy hypertension, offering a unique mechanism among antihypertensives.

Question 3 of 5

The nursing instructor teaches student nurses about male reproductive function and the role of follicle-stimulating hormone (FSH). The instructor evaluates learning has occurred when the students make which statement?

Correct Answer: A

Rationale: Follicle-stimulating hormone (FSH) from the pituitary targets Sertoli cells in the testes to drive spermatogenesis, regulating sperm production and supporting male fertility. Androgen production, mainly testosterone, falls under luteinizing hormone (LH), not FSH, though both hormones interplay in reproduction. Testosterone synthesis in Leydig cells is LH-driven, not FSH, which focuses on sperm maturation. Progesterone, minimal in males, isn't FSH-regulated, being more female-centric. FSH's role in spermatogenesis is specific, distinguishing it from hormonal regulation and highlighting its importance in reproductive physiology, ensuring students understand its targeted action over broader endocrine effects.

Question 4 of 5

Which finding would most accurately indicate that a therapeutic range for a medication had been reached?

Correct Answer: B

Rationale: Therapeutic range balances efficacy-treating the condition (indication)-with safety, avoiding serious side effects, a clinical goal. No adverse effects alone doesn't confirm efficacy. Dose amount doesn't ensure range. Effectiveness with lethal effects exceeds range. Achieving indication safely defines therapeutic success, per pharmacology.

Question 5 of 5

The patient is receiving zolpidem (Ambien) for treatment of short-term insomnia. What is the primary safety concern of the nurse when the patient takes this medication?

Correct Answer: A

Rationale: In the context of the ATI Proctored Exam Pharmacology, the primary safety concern for a patient taking zolpidem (Ambien) for short-term insomnia is dizziness and daytime sedation. This is the correct answer because zolpidem is a sedative-hypnotic medication that can cause central nervous system depression, leading to dizziness and sedation, especially if the patient does not allow for a full 7-8 hours of sleep before engaging in activities that require alertness. Option B, Nausea, is incorrect because nausea is not a primary safety concern associated with zolpidem use. Option C, Diarrhea, is also incorrect as it is not a common side effect or safety concern with zolpidem. Option D, Sleepwalking, while a potential side effect of zolpidem, is not the primary safety concern. Dizziness and daytime sedation pose a more significant risk to the patient's safety and well-being. In an educational context, it is crucial for nurses to understand the potential side effects and safety concerns associated with medications like zolpidem to ensure safe administration and monitoring of patients. Educating nurses on the specific risks and considerations with each medication helps them provide optimal care and prevent adverse events in patients taking these medications.

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