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