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OF I.V
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THERA-PEUTICS
EVIDENCE-BASED PRACTICE FOR
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INFUSION THERAPY 7TH EDITION
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LISA GORSKI
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,Test Bank for Phillips’s Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion
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Therapy, 7th Edition, Lisa Gorski, ISBN-13: 9780803667044
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Table of Contents
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An Overview of Professional Practice Issues and Infusion
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Therapy Infection Prevention and Occupational Risks
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Fundamentals of Fluid and Electrolytenm nm nm nm
Balance Parenteral Solutions
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Infusion Equipment nm
Peripheral I.V. Catheters: Initiation and Maintenance of Peripheral Infusion
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Therapy Phlebotomy Techniques
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Central Venous Access
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Complications of Infusion Therapy: Peripheral and Central Vascular Access Devices
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Infusion Medication Safety, Methods, and Routes
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Transfusion
Therapy Parenteral
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Nutrition
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,Chapter 1: Professional Practice Concepts for Infusion Therapy
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Multiple Choicenm
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
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client is combative and resists the nurse’s efforts to start the I.V. Which action by the
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nurse would result in an intentional tort?
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A. Failing to document the client’s combativeness
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B. Refusing to wear gloves while starting the I.V.
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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
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least the minimum standards of practice for nursing. Which phrase regarding standards
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of practice is most accurate?
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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.
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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
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another unit
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C. The nurse places two peripheral IV catheters in a patient requiring emergency IV fluids,
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but only uses one
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D. The nurse records nerve damage caused by a peripheral IV catheter inserted the
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previous shift nurse
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4. The intravenous route is the most commonly used infusion route. The nurse notes that a client
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diagnosed with metastatic cancer is receiving an intraosseous infusion. Should the nurse
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question the healthcare pro- 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
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chemother- apy.
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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
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selected fluids and medications.
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, 5. Which competency assessment method is acceptable for nursing competencies which will occur
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once per year in the skilled nursing facility?
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A. Client Evaluation nm
B. Clinical Data nm
C. Sentinel Event Report nm nm
D. Skills Checklist nm
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 nm nm
B. Attain competence nm
C. Reflect a measurable goal nm nm nm
D. Hold nurses accountablenm nm
7. Which problem-solving approach to clinical practice is the nurse manager applying when determining
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patient preference and values for successful clinical outcomes?
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A. Effective health-care practice nm nm
B. Evidence-based practice (EBP) nm nm
C. Answering a burning clinical question nm nm nm nm
D. One’s own clinical expertisenm nm nm
8. Seven days ago the PICC nurse inserted a PICC line into the right forearm of a client diagnosed
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with cancer. When the nurse checks the client's site today, which nursing process
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outcome is determined?
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A. Evaluating cancer treatment nm nm
B. Implementing asepsis maintenance nm nm
C. Planning for complication prevention nm nm nm
D. Discussing prior cancer therapy nm nm nm
9. Which compensatory model has been applied if the hospitalization rate for CLABSIs (central line-
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associated 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 nm nm nm nm
B. Reviews charts and assesses jury selection
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C. Gives deposition and notifies lawyers of discrepancies
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D. Testifies and establishes standards of care
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