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Chapter 1: Professional Practice Concepts for Infusion Therapy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a client diagnosed with gastroenteritis. The client is
combative and resists the nurse's efforts to start the I.V. Which action by the nurse would result in
an intentional tort?
A. Failing to document the client's combativeness
B. Refusing to wear gloves while starting the I.V.
C. Failing to report the client's combativeness to a physician
D. Starting an I.V. on a coherent client against the client's wishes
ANSWER: D
Page: 28
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A. Failure to document does not result in direct injury or harm to a client and is,
therefore, not an intentional tort.
B. Refusing to wear gloves may inadvertently result in injury or harm, but is not
considered an intentional tort.
C. Failure to report the behavior to a physician does not result in direct injury or
harm to the client and is not considered an intentional tort.
D. Intentional torts include assault and battery, false imprisonment, using restraints
as a form of false imprisonment, defamation of character, and breach ofconfi-
dentiality.
2. A nurse who is caring for clients understands that he or she should provide care that meets at least the
minimum standards ofpractice for nursing. Which phrase regarding standards ofpractice is most
accurate?
A. Standards ofpractice focus on the care provider and define needed activities and behaviors.
B. Standards ofpractice focus on the recipient of care and describe the outcomes ofcare.
C. Standards ofpractice are written laws enacted by the legislature.
D. Standards ofpractice are the result ofthe performance ofa function or process.
ANSWER: A
Page: 16
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A. Standards of practice are criteria for measuring performance against the optimal
achievable degree of clinical excellence. These standards are formulated to
communicate expectations of nursing practice. Agencies are influential in devel-
oping standards ofpractice.
B. Standards ofpractice criteria focus on the care provider, not the care recipient
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C. Standards ofpractice are evidence-based guidelines, policies, or protocols not
written laws.
D. Standards ofpractice may occur in response to unanswered questions, limited
research, and/or performance issues; not necessarily the result of the perfor-
mance or process.
3. Which incident would cause a nurse to be named as a defendant in a malpractice suit?
A. The nurse notes blood return noted in a peripheral IV catheter line.
B. The nurse reports early signs of infection from a peripheral line inserted by a nurse on another
unit
C. The nurse places two peripheral IV catheters in a patient requiring emergency IV fluids, but only
uses one
D. The nurse records nerve damage caused by a peripheral IV catheter inserted the previous shift
nurse
ANSWER: D
Page: 29
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A. Blood return at the catheter site is normal.
B. Reporting early signs ofinfection is expected.
C. Using one peripheral IV catheter may be warranted.
D. The nurse had a duty to do no harm to the client and the client suffered actual
harm or injury.
4. The intravenous route is the most commonly used infusion route. The nurse notes that a client diagnosed with
metastatic cancer is receiving an intraosseous infusion. Should the nurse question the healthcare pro-
vider's order?
A. Yes; the healthcare provider is not following INS recommendations.
B. No; the nurse should never question the healthcare provider's order when it comes to chemother-
apy.
C. Yes; this route ofinfusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations and with selected
fluids and medications.
ANSWER: D
Page: 3
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A. Infusion Nurses Society (INS) Standards, infusion therapy is provided with at-
tention to safety and quality with individualized care that is collaborative, cultur-
ally sensitive, and age appropriate.
B. Ifthere are questions about care the nurse (and client) should feel comfortable
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Chapter 1: Professional Practice Concepts for Infusion Therapy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is attempting to initiate I.V. therapy for a client diagnosed with gastroenteritis. The client is
combative and resists the nurse's efforts to start the I.V. Which action by the nurse would result in
an intentional tort?
A. Failing to document the client's combativeness
B. Refusing to wear gloves while starting the I.V.
C. Failing to report the client's combativeness to a physician
D. Starting an I.V. on a coherent client against the client's wishes
ANSWER: D
Page: 28
Feedback
A. Failure to document does not result in direct injury or harm to a client and is,
therefore, not an intentional tort.
B. Refusing to wear gloves may inadvertently result in injury or harm, but is not
considered an intentional tort.
C. Failure to report the behavior to a physician does not result in direct injury or
harm to the client and is not considered an intentional tort.
D. Intentional torts include assault and battery, false imprisonment, using restraints
as a form of false imprisonment, defamation of character, and breach ofconfi-
dentiality.
2. A nurse who is caring for clients understands that he or she should provide care that meets at least the
minimum standards ofpractice for nursing. Which phrase regarding standards ofpractice is most
accurate?
A. Standards ofpractice focus on the care provider and define needed activities and behaviors.
B. Standards ofpractice focus on the recipient of care and describe the outcomes ofcare.
C. Standards ofpractice are written laws enacted by the legislature.
D. Standards ofpractice are the result ofthe performance ofa function or process.
ANSWER: A
Page: 16
Feedback
A. Standards of practice are criteria for measuring performance against the optimal
achievable degree of clinical excellence. These standards are formulated to
communicate expectations of nursing practice. Agencies are influential in devel-
oping standards ofpractice.
B. Standards ofpractice criteria focus on the care provider, not the care recipient
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C. Standards ofpractice are evidence-based guidelines, policies, or protocols not
written laws.
D. Standards ofpractice may occur in response to unanswered questions, limited
research, and/or performance issues; not necessarily the result of the perfor-
mance or process.
3. Which incident would cause a nurse to be named as a defendant in a malpractice suit?
A. The nurse notes blood return noted in a peripheral IV catheter line.
B. The nurse reports early signs of infection from a peripheral line inserted by a nurse on another
unit
C. The nurse places two peripheral IV catheters in a patient requiring emergency IV fluids, but only
uses one
D. The nurse records nerve damage caused by a peripheral IV catheter inserted the previous shift
nurse
ANSWER: D
Page: 29
Feedback
A. Blood return at the catheter site is normal.
B. Reporting early signs ofinfection is expected.
C. Using one peripheral IV catheter may be warranted.
D. The nurse had a duty to do no harm to the client and the client suffered actual
harm or injury.
4. The intravenous route is the most commonly used infusion route. The nurse notes that a client diagnosed with
metastatic cancer is receiving an intraosseous infusion. Should the nurse question the healthcare pro-
vider's order?
A. Yes; the healthcare provider is not following INS recommendations.
B. No; the nurse should never question the healthcare provider's order when it comes to chemother-
apy.
C. Yes; this route ofinfusion is dangerous and not accepted by the INS.
D. No; other routes might be appropriate for administration in certain situations and with selected
fluids and medications.
ANSWER: D
Page: 3
Feedback
A. Infusion Nurses Society (INS) Standards, infusion therapy is provided with at-
tention to safety and quality with individualized care that is collaborative, cultur-
ally sensitive, and age appropriate.
B. Ifthere are questions about care the nurse (and client) should feel comfortable
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