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1. An Overview of Professional Practice Issues and Infusion
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TherapyInfection Prevention and Occupational Risks
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2. Fundamentals of Fluid and Electrolyte
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BalanceParenteral Solutions
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3. Infusion Equipment k
4. Peripheral I.V. Catheters: Initiation and Maintenance of Peripheral Infusion Therapy
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Phlebotomy Techniques
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5. Central Venous Access
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6. Complications of Infusion Therapy: Peripheral and Central Vascular Access Devices
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Infusion Medication Safety, Methods, and Routes
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7. Transfusion
Therapy
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Parenteral
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Nutrition
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,Chapter 1: Professional Practice Concepts for Infusion Therapy
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Multiple Choice k
Identify the choice that best completes the statement or answers the question.
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1. A nurse is attempting to initiate I.V. therapy for a client diagnosed with gastroenteritis. The client is
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combative and resists the nurse’s efforts to start the I.V. Which action by the nurse would result in
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an intentional tort?
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A. Failing to document the client’s combativeness k k k k k
B. Refusing to wear gloves while starting the I.V. k k k k k k k
C. Failing to report the client’s combativeness to a physician
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D. Starting an I.V. on a coherent client against the client’s wishes
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2. A nurse who is caring for clients understands that he or she should provide care that meets at least the
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minimum standards of practice for nursing. Which phrase regarding standards of practice is most
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accurate? k
A. Standards of practice focus on the care provider and define needed activities and behaviors.
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B. Standards of practice focus on the recipient of care and describe the outcomes of care.
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C. Standards of practice are written laws enacted by the legislature.k k k k k k k k k
D. Standards of practice are the result of the performance of a function or process.
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3. Which incident would cause a nurse to be named as a defendant in a malpractice suit?
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A. The nurse notes blood return noted in a peripheral IV catheter line.
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B. The nurse reports early signs of infection from a peripheral line inserted by a nurse on another
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unit k
C. The nurse places two peripheral IV catheters in a patient requiring emergency IV fluids, but only
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uses one k k
D. The nurse records nerve damage caused by a peripheral IV catheter inserted the previous shift
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nurse k
4. The intravenous route is the most commonly used infusion route. The nurse notes that a client diagnosed with
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metastatic cancer is receiving an intraosseous infusion. Should the nurse question the healthcare pro-
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vider’s order?
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A. Yes; the healthcare provider is not following INS recommendations.
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B. No; the nurse should never question the healthcare provider’s order when it comes to chemother-
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apy. k
C. Yes; this route of infusion is dangerous and not accepted by the INS.
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D. No; other routes might be appropriate for administration in certain situations and with selected
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fluids and medications.
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, 5. Which competency assessment method is acceptable for nursing competencies which will occur once per
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year in the skilled nursing facility?
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A. Client Evaluation k
B. Clinical Data k
C. Sentinel Event Report k k
D. Skills Checklist k
6. One of the primary values of the INS designation of CRNI (certified registered nurse, infusion) is to:
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A. Protect the public k k
B. Attain competence k
C. Reflect a measurable goal k k k
D. Hold nurses accountable k k
7. Which problem-solving approach to clinical practice is the nurse manager applying when determining patient
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preference and values for successful clinical outcomes?
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A. Effective health-care practice k k
B. Evidence-based practice (EBP) k k
C. Answering a burning clinical question k k k k
D. One’s own clinical expertise k k k
8. Seven days ago the PICC nurse inserted a PICC line into the right forearm of a client diagnosed with cancer.
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When the nurse checks the client's site today, which nursing process outcome is determined?
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A. Evaluating cancer treatment k k
B. Implementing asepsis maintenance k k
C. Planning for complication prevention k k k
D. Discussing prior cancer therapy k k k
9. Which compensatory model has been applied if the hospitalization rate for CLABSIs (central line-associated
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bloodstream infections) decreased significantly over the last quarter?
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A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When called as an expert witness in an upcoming case, the nurse manager employs which techniques?
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A. Examines evidence and give advice k k k k
B. Reviews charts and assesses jury selection k k k k k
C. Gives deposition and notifies lawyers of discrepancies
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D. Testifies and establishes standards of care k k k k k