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I.V
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THERA-PEUTICS
EVIDENCE-BASED PRACTICE FOR pq pq
INFUSIONTHERAPY7THEDITIO
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N LISA GORSKI
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,TESTBANK FORPHILLIPS’SMANUALOFI.V.THERAPEUTICS:EVIDENCE-BASED
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#fPRACTICEFORINFUSIONTHERAPY, 7TH f# EDITION, f#LISA f#GORSKI, f#ISBN-13:
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f#9780803667044
TABLEOFCONTENTS
ANOVERVIEWOFPROFESSIONALPRACTICEISSUESANDINFU
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SIONTHERAPY f#INFECTION f#PREVENTIONAND
f#OCCUPATIONAL f#RISKS
f#FUNDAMENTALSOFFLUIDANDELECTROLYTEBALANCE
PARENTERAL
#fSOLUTIONS
f#INFUSION EQUIPMENT
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PERIPHERALI.V.CATHETERS:INITIATIONANDMAINTENANCEOFPERIPHERAL I
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NFUSIONTHERAPY f#PHLEBOTOMYf#TECHNIQUES
CENTRALVENOUSACCESS
f#COMPLICATIONSOFINFUSION THERAPY:PERIPHERALANDCENTRALVASCULARAC
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CESS DEVICES#fINFUSION f#MEDICATION f#SAFETY, METHODS,f#ANDf#ROUTES
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TRANSFUSIONTHERAP
Y f#PARENTERAL
f#NUTRITION
,Chapter1:Professional f#PracticeConceptsforInfusionTherapy pq
Multiplef#Choice
Identifythechoicethatbestcompletesthestatementoranswersthequestion.
1. Anurseisattemptingtoinitiatef#I.V.f#therapyforaclientdiagnosedwithgastroenteritis.f#Theclientiscombative
f # andresiststhenurse’s effortstostarttheI.V.Whichactionbythenursewouldresultin#fan
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f#intentionaltort?
A. Failingtof#documenttheclient’scombativeness
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B. Refusingtoweargloves whilestarting#fthef#I.V. pq
C. Failingto f#reporttheclient’s f#combativenessto f#a physician
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D. Startingan f# I.V.onacoherentclientagainst f#theclient’swishes
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2. Anursewhoiscaringforclientsunderstandsthatheorsheshouldprovidecarethatmeets f # at f # leasttheminimum
f # standardsofpracticefornursing.Whichphraseregardingstandardsofpracticeismost#faccurate?
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A. Standardsofpracticefocusonthecareprovideranddefineneededactivitiesandbehaviors. pq
B. Standardsofpracticefocusontherecipientofcareanddescribetheoutcomesofcare. pq
C. Standardsofpracticearewrittenlawsenactedbythelegislature. pq
D. Standardsofpractice f # aretheresultoftheperformanceofafunctionorprocess. pq
3. Whichincidentwould f#causeanursetobenamed f#asf#adefendantinamalpracticesuit?
A. Thenursenotesbloodreturn notedf#inaperipheral f#IVcatheterline. pq
B. Thenursereportsearlysignsofinfectionfrom a peripherallineinsertedbyanurseonanother#funit pq pq pq
C. Thenurseplacestwoperipheralf#IVcathetersinapatientrequiringemergency#fIVfluids,butonlyuses pq pq pq
f#one
D. Thenurserecordsnervedamagecausedbyaperipheral f # IVcatheterinsertedthepreviousshift nurse pq pq
4. The f#intravenous f#route f#is f#the f#most f#commonly f#used f#infusion f#route. f#The f#nurse f#notes f#that f#a f#client
f#diagnosed f#with f#metastatic f#cancer f#is f#receiving f#an f#intraosseous f#infusion. f#Should f#the f#nurse
f#question f#the f#healthcare f#pro- f#vider’s#forder?
A. Yes;thehealthcareproviderisnotfollowing#fINSrecommendations. pq
B. No;thenurseshouldneverquestionthehealthcareprovider’sorderwhenitcomestochemother- f # apy.
C. Yes; thisf#routeofinfusion f#isdangerousand notf#acceptedbythe f#INS.
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D. No;otherroutesmightbeappropriateforadministrationincertainsituationsandwithselected fluids
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f # andmedications.
, 5. Whichcompetencyassessmentmethodisacceptablefornursingcompetencieswhichwilloccuronceper#fyear pq
f#intheskillednursingfacility? pq
A. Clientf#Evaluation
B. ClinicalData
C. SentinelEventReport pq
D. SkillsChecklist
6. One o f f#the primaryvalues f#ofthe f#INSdesignation f#of f#CRNI(certifiedregisterednurse, f#infusion) f#is f#to:
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A. Protectthepublicpq
B. Attaincompetence
C. Reflectameasurable#fgoal
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D. Holdnursesaccountable
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7. Whichproblem-solvingapproachtoclinicalpracticeisthenursemanagerapplyingwhendetermining patient
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f # preferenceandvaluesforsuccessfulclinicaloutcomes?
A. Effectivehealth-carepractice pq
B. Evidence-basedpractice(EBP) pq
C. Answeringaburning f#clinicalquestion pq pq
D. One’sownclinical f#expertise
8. SevendaysagothePICCnurseinsertedaPICClineintotherightforearmofaclientdiagnosedwithcancer.#fWhen
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f#thenursecheckstheclient'ssitetoday, f # whichnursingprocessoutcomeisdetermined?
A. Evaluatingcancertreatment pq
B. Implementingasepsismaintenance
C. Planningforcomplication#fprevention
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D. Discussingpriorcancertherapy
9. WhichcompensatorymodelhasbeenappliedifthehospitalizationrateforCLABSIs(centralline-associated pq pq
f # f # bloodstreaminfections)#fdecreasedsignificantlyoverthelastquarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. When called#fas#fan#fexpertwitnessin#fanf#upcomingcase,#fthenursemanager#femployswhichtechniques?
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A. Examinesevidenceandgiveadvice
B. Reviewschartsandassessesjuryselection
C. Givesdepositionand notifieslawyersofdiscrepancies
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D. Testifiesand establishes#fstandardsofcare
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