TEST BANK
Phillips’s Manual of I.V. Therapeutics: Evidence-Based Practice for
Infusion Therapy, 7th Edition
, Test Bank for Phi11ips’s Manua1 of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy,
7th Edition, 1isa Gorski, ISBN-13: 9780803667044
Tab1e of Contents
An Overview of Professiona1 Practice Issues and Infusion
Therapy Infection Prevention and Occupationa1 Risks
Fundamenta1s of F1uid and E1ectro1yte
Ba1ance Parentera1 So1utions
Infusion Equipment
Periphera1 I.V. Catheters: Initiation and Maintenance of Periphera1 Infusion
Therapy Ph1ebotomy Techniques
Centra1 Venous Access
Comp1ications of Infusion Therapy: Periphera1 and Centra1 Vascu1ar Access
Devices Infusion Medication Safety, Methods, and Routes
Transfusion
Therapy
Parentera1
Nutrition
,Chapter 1: Professiona1 Practice Concepts for Infusion Therapy
Mu1tip1e Choice
Identify the choice that best comp1etes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a c1ient diagnosed with gastroenteritis.
The c1ient is combative and resists the nurse’s efforts to start the I.V. Which action
by the nurse wou1d resu1t in an intentiona1 tort?
A. Fai1ing to document the c1ient’s combativeness
B. Refusing to wear g1oves whi1e starting the I.V.
C. Fai1ing to report the c1ient’s combativeness to a physician
D. Starting an I.V. on a coherent c1ient against the c1ient’s wishes
2. A nurse who is caring for c1ients understands that he or she shou1d provide care that
meets at 1east the minimum standards of practice for nursing. Which phrase
regarding standards of practice is most accurate?
A. Standards of practice focus on the care provider and define needed activities and behavior
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written 1aws enacted by the 1egis1ature.
D. Standards of practice are the resu1t of the performance of a function or process.
3. Which incident wou1d cause a nurse to be named as a defendant in a ma1practice suit?
A. The nurse notes b1ood return noted in a periphera1 IV catheter 1ine.
B. The nurse reports ear1y signs of infection from a periphera1 1ine inserted by a
nurse on another unit
C. The nurse p1aces two periphera1 IV catheters in a patient requiring emergency IV
f1uids, but on1y uses one
D. The nurse records nerve damage caused by a periphera1 IV catheter inserted the
previous shift nurse
4. The intravenous route is the most common1y used infusion route. The nurse notes that a c1ient
diagnosed with metastatic cancer is receiving an intraosseous infusion. Shou1d the
nurse question the hea1thcare pro- vider’s order?
A. Yes; the hea1thcare provider is not fo11owing INS recommendations.
B. No; the nurse shou1d never question the hea1thcare provider’s order when it comes
to chemother- apy.
C. Yes; this route of infusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations
and with se1ected f1uids and medications.
,5. Which competency assessment method is acceptab1e for nursing competencies which wi11
occur once per year in the ski11ed nursing faci1ity?
A. C1ient Eva1uation
B. C1inica1 Data
C. Sentine1 Event Report
D. Ski11s Check1ist
6. One of the primary va1ues of the INS designation of CRNI (certified registered nurse, infusion) is to
A. Protect the pub1ic
B. Attain competence
C. Ref1ect a measurab1e goa1
D. Ho1d nurses accountab1e
7. Which prob1em-so1ving approach to c1inica1 practice is the nurse manager app1ying when
determining patient preference and va1ues for successfu1 c1inica1 outcomes?
A. Effective hea1th-care practice
B. Evidence-based practice (EBP)
C. Answering a burning c1inica1 question
D. One’s own c1inica1 expertise
8. Seven days ago the PICC nurse inserted a PICC 1ine into the right forearm of a c1ient
diagnosed with cancer. When the nurse checks the c1ient's site today, which nursing
process outcome is determined?
A. Eva1uating cancer treatment
B. Imp1ementing asepsis maintenance
C. P1anning for comp1ication prevention
D. Discussing prior cancer therapy
9. Which compensatory mode1 has been app1ied if the hospita1ization rate for C1ABSIs (centra1
1ine-associated b1oodstream infections) decreased significant1y over the 1ast quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When ca11ed as an expert witness in an upcoming case, the nurse manager emp1oys which
techniques?
A. Examines evidence and give advice
B. Reviews charts and assesses jury se1ection
C. Gives deposition and notifies 1awyers of discrepancies
D. Testifies and estab1ishes standards of care
,Mu1tip1e Response
Identify one or more choices that best comp1ete the statement or answer the question.
1. A nurse is caring for mu1tip1e c1ients in a rehabi1itation faci1ity. During the shift, the nurse
notes that severa1 c1ients are on high-risk medications. According to the Risk
Eva1uation and Mitigation Strategy (REMS) program, when can the U.S. Food and
Drug Administration (FDA) require a REMS? (Se- 1ect a11 that app1y.)
A. Before FDA drug approva1
B. After FDA drug approva1
C. During a c1ient eva1uation
D. At an ethics committee meeting
E. After c1ient informed consent
2. A new infusion c1inic is being started. The nursing supervisor of the new c1inic must
conform to specific standards of practice when deve1oping nursing po1icies and
procedures for the new program. To which organizationa1 standards of practice
must the nurse manager adhere? (Se1ect a11 that app1y.)
A. Centers for Disease Contro1 and Prevention (CDC) guide1ines
B. Infusion Nurses Society (INS) standards
C. American Medica1 Association (AMA) standards
D. Onco1ogy Nursing Society (ONS) standards
E. U.S. Food and Drug Administration (FDA)
3. A staff nurse is serving on a hospita1’s qua1ity-assurance improvement task force. On
which qua1ity- assurance improvement mode1s is the task force most 1ike1y to
focus? (Se1ect a11 that app1y.)
A. Standards of care
B. Standards of practice
C. Performance improvement
D. Continuous qua1ity improvement
E. Tota1 Qua1ity Management (TQM)
4. Which methods shou1d the nurse use to eva1uate achievement of c1ient outcomes prior to
discharge? (Se1ect a11 that app1y.)
A. Co11ect data to determine whether standards were met.
B. Identify contro11ab1e or uncontro11ab1e variab1es.
C. Determine the cause of the prob1em by comparing actua1 care with estab1ished standard
D. Re-eva1uate to determine whether corrective action is effective and improvement
in service is obtained.
E. Contact The Joint Commission (JCAHO) Web site for standards.
,5. Whi1e caring for a c1ient, a nurse administers an incorrect dose of medication, causing the
c1ient to become i11. The nurse reports the incident to the nurse manager on the unit.
The nurse manager then notifies risk management. Which risk-management
strategies shou1d be used by the nurse in this situation? (Se1ect a11 that app1y.)
A. Documentation
B. Physica1 assessment
C. Unusua1 occurrence reports
D. Professiona1 1iabi1ity insurance
E. Systemic ana1ysis of serious adverse events
6. When nurses provide care to c1ients, nursing actions are governed by estab1ished standards of
nursing care, as we11 as both state and federa1 1aws. Which are sources of 1aw?
(Se1ect a11 that app1y.)
A. Constitution
B. Statutes
C. State Nurse Practice Acts
D. Joint Commission standards
E. Centers for Disease (CDC) standards.
7. The nursing supervisor of a new infusion c1inic must conform to specific standards of practice
when deve1oping nursing po1icies and procedures for the new program. Which INS
risk management strat- egies he1p decrease the risk of potentia1 1iabi1ity to the new
c1inic? (Se1ect a11 that app1y.)
A. Ana1ysis of unusua1 occurrences
B. Root cause ana1ysis of sentine1 events
C. Eva1uation of a11 patient data and surveys
D. Comprehensive and thorough documentation
E. Reduction of C1ABSI re1ated comp1ications
8. Whi1e taking care of a c1ient with mu1tip1e sc1erosis, the infusion nurse inadvertent1y gives
the c1ient too much a1emtuzumab by infusing 1onger than the recommended two
hours. The nurse is proven neg1i- gent by which e1ements of the ma1practice c1aim?
(Se1ect a11 that app1y.)
A. The nurse has a duty to provide safe, effective treatment.
B. The nurse a11ows the c1ient’s fami1y to watch the infusion.
C. The c1ient suffers difficu1ty breathing and chi11s during the infusion.
D. A breach of care occurs because the nurse administered too much medication.
E. The nurse shou1d have offered the P.O. form of a1emtuzumab.
,9. With in-depth know1edge of community resources, which ski11 wi11 he1p the home care infusion
nurse provide
, the best care? (Se1ect a11 that app1y.)
A. Meticu1ous evidence-based care
B. Interprofessiona1 communication and co11aboration
C. Appropriate parentera1 nutrition and IV medication
D. Abi1ity to write home infusion therapy po1icy and procedures
E. Safe, effective, and competent care
10. A nurse fai1s to document that an injectab1e heparin has been given to a c1ient for two
weeks. Upon investigation it is determined that the heparin was not given and the
nurse was reported to the state board of nursing. Which type of 1aw is the state
board using? (Se1ect a11 that app1y.)
A. Pub1ic 1aw
B. Administrative 1aw
C. Common 1aw
D. Constitutiona1 1aw
E. Statutory 1aw
,Chapter 1: Professiona1 Practice Concepts for Infusion Therapy
Mu1tip1e Choice
Identify the choice that best comp1etes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a c1ient diagnosed with gastroenteritis.
The c1ient is combative and resists the nurse’s efforts to start the I.V. Which action
by the nurse wou1d resu1t in an intentiona1 tort?
A. Fai1ing to document the c1ient’s combativeness
B. Refusing to wear g1oves whi1e starting the I.V.
C. Fai1ing to report the c1ient’s combativeness to a physician
D. Starting an I.V. on a coherent c1ient against the c1ient’s wishes
ANS: D
Page: 28
Feedback
A. Fai1ure to document does not resu1t in direct injury or harm to a c1ient
and is, therefore, not an intentiona1 tort.
B. Refusing to wear g1oves may inadvertent1y resu1t in injury or harm,
but is not considered an intentiona1 tort.
C. Fai1ure to report the behavior to a physician does not resu1t in direct
injury or
harm to the c1ient and is not considered an intentiona1 tort.
D. Intentiona1 torts inc1ude assau1t and battery, fa1se imprisonment,
using restraints
as a form of fa1se imprisonment, defamation of character, and breach
of confi- dentia1ity.
2. A nurse who is caring for c1ients understands that he or she shou1d provide care that
meets at 1east the minimum standards of practice for nursing. Which phrase
regarding standards of practice is most accurate?
A. Standards of practice focus on the care provider and define needed activities and behavior
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written 1aws enacted by the 1egis1ature.
D. Standards of practice are the resu1t of the performance of a function or process.
ANS: A
Page: 16
Feedback
, A. Standards of practice are criteria for measuring performance against
the optima1 achievab1e degree of c1inica1 exce11ence. These standards
are formu1ated to communicate expectations of nursing practice.
Agencies are inf1uentia1 in deve1- oping standards of practice.
B. Standards of practice criteria focus on the care provider, not the care
recipient
C. Standards of practice are evidence-based guide1ines, po1icies, or
protoco1s not written 1aws.
D. Standards of practice may occur in response to unanswered questions,
1imited research, and/or performance issues; not necessari1y the
resu1t of the perfor- mance or process.
3. Which incident wou1d cause a nurse to be named as a defendant in a ma1practice suit?
A. The nurse notes b1ood return noted in a periphera1 IV catheter 1ine.
B. The nurse reports ear1y signs of infection from a periphera1 1ine inserted by a
nurse on another unit
C. The nurse p1aces two periphera1 IV catheters in a patient requiring emergency IV
f1uids, but on1y uses one
D. The nurse records nerve damage caused by a periphera1 IV catheter inserted the
previous shift nurse
ANS: D
Page: 29
Feedback
A. B1ood return at the catheter site is norma1.
B. Reporting ear1y signs of infection is expected.
C. Using one periphera1 IV catheter may be warranted.
D. The nurse had a duty to do no harm to the c1ient and the c1ient
suffered actua1 harm or injury.
4. The intravenous route is the most common1y used infusion route. The nurse notes that a c1ient
diagnosed with metastatic cancer is receiving an intraosseous infusion. Shou1d the
nurse question the hea1thcare pro- vider’s order?
A. Yes; the hea1thcare provider is not fo11owing INS recommendations.
B. No; the nurse shou1d never question the hea1thcare provider’s order when it comes
to chemother- apy.
C. Yes; this route of infusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations
and with se1ected f1uids and medications.
ANS: D
Phillips’s Manual of I.V. Therapeutics: Evidence-Based Practice for
Infusion Therapy, 7th Edition
, Test Bank for Phi11ips’s Manua1 of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy,
7th Edition, 1isa Gorski, ISBN-13: 9780803667044
Tab1e of Contents
An Overview of Professiona1 Practice Issues and Infusion
Therapy Infection Prevention and Occupationa1 Risks
Fundamenta1s of F1uid and E1ectro1yte
Ba1ance Parentera1 So1utions
Infusion Equipment
Periphera1 I.V. Catheters: Initiation and Maintenance of Periphera1 Infusion
Therapy Ph1ebotomy Techniques
Centra1 Venous Access
Comp1ications of Infusion Therapy: Periphera1 and Centra1 Vascu1ar Access
Devices Infusion Medication Safety, Methods, and Routes
Transfusion
Therapy
Parentera1
Nutrition
,Chapter 1: Professiona1 Practice Concepts for Infusion Therapy
Mu1tip1e Choice
Identify the choice that best comp1etes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a c1ient diagnosed with gastroenteritis.
The c1ient is combative and resists the nurse’s efforts to start the I.V. Which action
by the nurse wou1d resu1t in an intentiona1 tort?
A. Fai1ing to document the c1ient’s combativeness
B. Refusing to wear g1oves whi1e starting the I.V.
C. Fai1ing to report the c1ient’s combativeness to a physician
D. Starting an I.V. on a coherent c1ient against the c1ient’s wishes
2. A nurse who is caring for c1ients understands that he or she shou1d provide care that
meets at 1east the minimum standards of practice for nursing. Which phrase
regarding standards of practice is most accurate?
A. Standards of practice focus on the care provider and define needed activities and behavior
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written 1aws enacted by the 1egis1ature.
D. Standards of practice are the resu1t of the performance of a function or process.
3. Which incident wou1d cause a nurse to be named as a defendant in a ma1practice suit?
A. The nurse notes b1ood return noted in a periphera1 IV catheter 1ine.
B. The nurse reports ear1y signs of infection from a periphera1 1ine inserted by a
nurse on another unit
C. The nurse p1aces two periphera1 IV catheters in a patient requiring emergency IV
f1uids, but on1y uses one
D. The nurse records nerve damage caused by a periphera1 IV catheter inserted the
previous shift nurse
4. The intravenous route is the most common1y used infusion route. The nurse notes that a c1ient
diagnosed with metastatic cancer is receiving an intraosseous infusion. Shou1d the
nurse question the hea1thcare pro- vider’s order?
A. Yes; the hea1thcare provider is not fo11owing INS recommendations.
B. No; the nurse shou1d never question the hea1thcare provider’s order when it comes
to chemother- apy.
C. Yes; this route of infusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations
and with se1ected f1uids and medications.
,5. Which competency assessment method is acceptab1e for nursing competencies which wi11
occur once per year in the ski11ed nursing faci1ity?
A. C1ient Eva1uation
B. C1inica1 Data
C. Sentine1 Event Report
D. Ski11s Check1ist
6. One of the primary va1ues of the INS designation of CRNI (certified registered nurse, infusion) is to
A. Protect the pub1ic
B. Attain competence
C. Ref1ect a measurab1e goa1
D. Ho1d nurses accountab1e
7. Which prob1em-so1ving approach to c1inica1 practice is the nurse manager app1ying when
determining patient preference and va1ues for successfu1 c1inica1 outcomes?
A. Effective hea1th-care practice
B. Evidence-based practice (EBP)
C. Answering a burning c1inica1 question
D. One’s own c1inica1 expertise
8. Seven days ago the PICC nurse inserted a PICC 1ine into the right forearm of a c1ient
diagnosed with cancer. When the nurse checks the c1ient's site today, which nursing
process outcome is determined?
A. Eva1uating cancer treatment
B. Imp1ementing asepsis maintenance
C. P1anning for comp1ication prevention
D. Discussing prior cancer therapy
9. Which compensatory mode1 has been app1ied if the hospita1ization rate for C1ABSIs (centra1
1ine-associated b1oodstream infections) decreased significant1y over the 1ast quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When ca11ed as an expert witness in an upcoming case, the nurse manager emp1oys which
techniques?
A. Examines evidence and give advice
B. Reviews charts and assesses jury se1ection
C. Gives deposition and notifies 1awyers of discrepancies
D. Testifies and estab1ishes standards of care
,Mu1tip1e Response
Identify one or more choices that best comp1ete the statement or answer the question.
1. A nurse is caring for mu1tip1e c1ients in a rehabi1itation faci1ity. During the shift, the nurse
notes that severa1 c1ients are on high-risk medications. According to the Risk
Eva1uation and Mitigation Strategy (REMS) program, when can the U.S. Food and
Drug Administration (FDA) require a REMS? (Se- 1ect a11 that app1y.)
A. Before FDA drug approva1
B. After FDA drug approva1
C. During a c1ient eva1uation
D. At an ethics committee meeting
E. After c1ient informed consent
2. A new infusion c1inic is being started. The nursing supervisor of the new c1inic must
conform to specific standards of practice when deve1oping nursing po1icies and
procedures for the new program. To which organizationa1 standards of practice
must the nurse manager adhere? (Se1ect a11 that app1y.)
A. Centers for Disease Contro1 and Prevention (CDC) guide1ines
B. Infusion Nurses Society (INS) standards
C. American Medica1 Association (AMA) standards
D. Onco1ogy Nursing Society (ONS) standards
E. U.S. Food and Drug Administration (FDA)
3. A staff nurse is serving on a hospita1’s qua1ity-assurance improvement task force. On
which qua1ity- assurance improvement mode1s is the task force most 1ike1y to
focus? (Se1ect a11 that app1y.)
A. Standards of care
B. Standards of practice
C. Performance improvement
D. Continuous qua1ity improvement
E. Tota1 Qua1ity Management (TQM)
4. Which methods shou1d the nurse use to eva1uate achievement of c1ient outcomes prior to
discharge? (Se1ect a11 that app1y.)
A. Co11ect data to determine whether standards were met.
B. Identify contro11ab1e or uncontro11ab1e variab1es.
C. Determine the cause of the prob1em by comparing actua1 care with estab1ished standard
D. Re-eva1uate to determine whether corrective action is effective and improvement
in service is obtained.
E. Contact The Joint Commission (JCAHO) Web site for standards.
,5. Whi1e caring for a c1ient, a nurse administers an incorrect dose of medication, causing the
c1ient to become i11. The nurse reports the incident to the nurse manager on the unit.
The nurse manager then notifies risk management. Which risk-management
strategies shou1d be used by the nurse in this situation? (Se1ect a11 that app1y.)
A. Documentation
B. Physica1 assessment
C. Unusua1 occurrence reports
D. Professiona1 1iabi1ity insurance
E. Systemic ana1ysis of serious adverse events
6. When nurses provide care to c1ients, nursing actions are governed by estab1ished standards of
nursing care, as we11 as both state and federa1 1aws. Which are sources of 1aw?
(Se1ect a11 that app1y.)
A. Constitution
B. Statutes
C. State Nurse Practice Acts
D. Joint Commission standards
E. Centers for Disease (CDC) standards.
7. The nursing supervisor of a new infusion c1inic must conform to specific standards of practice
when deve1oping nursing po1icies and procedures for the new program. Which INS
risk management strat- egies he1p decrease the risk of potentia1 1iabi1ity to the new
c1inic? (Se1ect a11 that app1y.)
A. Ana1ysis of unusua1 occurrences
B. Root cause ana1ysis of sentine1 events
C. Eva1uation of a11 patient data and surveys
D. Comprehensive and thorough documentation
E. Reduction of C1ABSI re1ated comp1ications
8. Whi1e taking care of a c1ient with mu1tip1e sc1erosis, the infusion nurse inadvertent1y gives
the c1ient too much a1emtuzumab by infusing 1onger than the recommended two
hours. The nurse is proven neg1i- gent by which e1ements of the ma1practice c1aim?
(Se1ect a11 that app1y.)
A. The nurse has a duty to provide safe, effective treatment.
B. The nurse a11ows the c1ient’s fami1y to watch the infusion.
C. The c1ient suffers difficu1ty breathing and chi11s during the infusion.
D. A breach of care occurs because the nurse administered too much medication.
E. The nurse shou1d have offered the P.O. form of a1emtuzumab.
,9. With in-depth know1edge of community resources, which ski11 wi11 he1p the home care infusion
nurse provide
, the best care? (Se1ect a11 that app1y.)
A. Meticu1ous evidence-based care
B. Interprofessiona1 communication and co11aboration
C. Appropriate parentera1 nutrition and IV medication
D. Abi1ity to write home infusion therapy po1icy and procedures
E. Safe, effective, and competent care
10. A nurse fai1s to document that an injectab1e heparin has been given to a c1ient for two
weeks. Upon investigation it is determined that the heparin was not given and the
nurse was reported to the state board of nursing. Which type of 1aw is the state
board using? (Se1ect a11 that app1y.)
A. Pub1ic 1aw
B. Administrative 1aw
C. Common 1aw
D. Constitutiona1 1aw
E. Statutory 1aw
,Chapter 1: Professiona1 Practice Concepts for Infusion Therapy
Mu1tip1e Choice
Identify the choice that best comp1etes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a c1ient diagnosed with gastroenteritis.
The c1ient is combative and resists the nurse’s efforts to start the I.V. Which action
by the nurse wou1d resu1t in an intentiona1 tort?
A. Fai1ing to document the c1ient’s combativeness
B. Refusing to wear g1oves whi1e starting the I.V.
C. Fai1ing to report the c1ient’s combativeness to a physician
D. Starting an I.V. on a coherent c1ient against the c1ient’s wishes
ANS: D
Page: 28
Feedback
A. Fai1ure to document does not resu1t in direct injury or harm to a c1ient
and is, therefore, not an intentiona1 tort.
B. Refusing to wear g1oves may inadvertent1y resu1t in injury or harm,
but is not considered an intentiona1 tort.
C. Fai1ure to report the behavior to a physician does not resu1t in direct
injury or
harm to the c1ient and is not considered an intentiona1 tort.
D. Intentiona1 torts inc1ude assau1t and battery, fa1se imprisonment,
using restraints
as a form of fa1se imprisonment, defamation of character, and breach
of confi- dentia1ity.
2. A nurse who is caring for c1ients understands that he or she shou1d provide care that
meets at 1east the minimum standards of practice for nursing. Which phrase
regarding standards of practice is most accurate?
A. Standards of practice focus on the care provider and define needed activities and behavior
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written 1aws enacted by the 1egis1ature.
D. Standards of practice are the resu1t of the performance of a function or process.
ANS: A
Page: 16
Feedback
, A. Standards of practice are criteria for measuring performance against
the optima1 achievab1e degree of c1inica1 exce11ence. These standards
are formu1ated to communicate expectations of nursing practice.
Agencies are inf1uentia1 in deve1- oping standards of practice.
B. Standards of practice criteria focus on the care provider, not the care
recipient
C. Standards of practice are evidence-based guide1ines, po1icies, or
protoco1s not written 1aws.
D. Standards of practice may occur in response to unanswered questions,
1imited research, and/or performance issues; not necessari1y the
resu1t of the perfor- mance or process.
3. Which incident wou1d cause a nurse to be named as a defendant in a ma1practice suit?
A. The nurse notes b1ood return noted in a periphera1 IV catheter 1ine.
B. The nurse reports ear1y signs of infection from a periphera1 1ine inserted by a
nurse on another unit
C. The nurse p1aces two periphera1 IV catheters in a patient requiring emergency IV
f1uids, but on1y uses one
D. The nurse records nerve damage caused by a periphera1 IV catheter inserted the
previous shift nurse
ANS: D
Page: 29
Feedback
A. B1ood return at the catheter site is norma1.
B. Reporting ear1y signs of infection is expected.
C. Using one periphera1 IV catheter may be warranted.
D. The nurse had a duty to do no harm to the c1ient and the c1ient
suffered actua1 harm or injury.
4. The intravenous route is the most common1y used infusion route. The nurse notes that a c1ient
diagnosed with metastatic cancer is receiving an intraosseous infusion. Shou1d the
nurse question the hea1thcare pro- vider’s order?
A. Yes; the hea1thcare provider is not fo11owing INS recommendations.
B. No; the nurse shou1d never question the hea1thcare provider’s order when it comes
to chemother- apy.
C. Yes; this route of infusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations
and with se1ected f1uids and medications.
ANS: D
