Test Bank for Phillips’s Manual of I.V. Therapeutics; Evidence-Based Practice for Infusion Therapy 7th Edition Lisa Gorski | Complete Guide A+

Chapter 1:
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, Professional Practice Concepts for Infusion Therapy
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Multiple Choice kp


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
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result in an intentional tort?
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A. Failing to document the client’s combativeness kp kp kp kp kp


B. Refusing to wear gloves while starting the I.V. kp kp kp kp kp kp kp


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
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the minimum standards of practice for nursing. Which phrase regarding standards of
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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, but
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only uses one
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D. The nurse records nerve damage caused by a peripheral IV catheter inserted the previous
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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 once
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per year in the skilled nursing facility?
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A. Client Evaluation kp


B. Clinical Data kp


C. Sentinel Event Report kp kp


D. Skills Checklist kp




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 kp kp


B. Attain competence kp


C. Reflect a measurable goal kp kp kp


D. Hold nurses accountable kp kp




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 kp kp


B. Evidence-based practice (EBP) kp kp


C. Answering a burning clinical question kp kp kp kp


D. One’s own clinical expertise kp kp kp




8. Seven days ago the PICC nurse inserted a PICC line into the right forearm of a client diagnosed with
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cancer. When the nurse checks the client's site today, which nursing process outcome is
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determined?
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A. Evaluating cancer treatment kp kp


B. Implementing asepsis maintenance kp kp


C. Planning for complication prevention kp kp kp


D. Discussing prior cancer therapy kp kp kp




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 kp kp kp kp


B. Reviews charts and assesses jury selection kp kp kp kp kp




C. Gives deposition and notifies lawyers of discrepancies
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D. Testifies and establishes standards of care
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, Multiple Response
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Identify one or more choices that best complete the statement or answer the question.
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1. A nurse is caring for multiple clients in a rehabilitation facility. During the shift, the nurse notes that
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several clients are on high-risk medications. According to the Risk Evaluation and
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Mitigation Strategy (REMS) program, when can the U.S. Food and Drug Administration
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(FDA) require a REMS? (Se- lect all that apply.)
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A. Before FDA drug approval kp kp kp


B. After FDA drug approval kp kp kp


C. During a client evaluation kp kp kp


D. At an ethics committee meeting
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E. After client informed consent kp kp kp




2. A new infusion clinic is being started. The nursing supervisor of the new clinic must conform to
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specific standards of practice when developing nursing policies and procedures for the new
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program. To which organizational standards of practice must the nurse manager adhere?
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(Select all that apply.)
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A. Centers for Disease Control and Prevention (CDC) guidelines
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B. Infusion Nurses Society (INS) standards kp kp kp kp


C. American Medical Association (AMA) standards kp kp kp kp


D. Oncology Nursing Society (ONS) standards kp kp kp kp


E. U.S. Food and Drug Administration (FDA)
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3. A staff nurse is serving on a hospital’s quality-assurance improvement task force. On which
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quality- assurance improvement models is the task force most likely to focus? (Select
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all that apply.)
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A. Standards of care kp kp


B. Standards of practice kp kp


C. Performance improvement kp


D. Continuous quality improvement kp kp


E. Total Quality Management (TQM) kp kp kp




4. Which methods should the nurse use to evaluate achievement of client outcomes prior to discharge?
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(Select all that apply.)
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A. Collect data to determine whether standards were met.
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B. Identify controllable or uncontrollable variables.
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C. Determine the cause of the problem by comparing actual care with established standards.
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D. Re-evaluate to determine whether corrective action is effective and improvement in
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service is obtained.
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E. Contact The Joint Commission (JCAHO) Web site for standards.
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