,rq Bank for Phillips’s Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy, 7th
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rq 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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rq Therapy Infection Prevention and Occupational Risks
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Fundamentals of Fluid and Electrolyte rq rq rq rq
Balance Parenteral Solutions
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Infusion Equipment rq
Peripheral I.V. Catheters: Initiation and Maintenance of Peripheral Infusion
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rq Therapy Phlebotomy Techniques
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Central Venous Access
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Complications of Infusion Therapy: Peripheral and Central Vascular Access
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rq Devices Infusion Medication Safety, Methods, and Routes
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Transfusion
Therapy
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rq Parenteral
rq Nutrition
,Chapter 1: Professional Practice Concepts for Infusion Therapy
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Multiple Choice rq
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 rq rq rq rq rq
B. Refusing to wear gloves while starting the I.V. rq rq rq rq rq rq rq
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 practice
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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. rq rq rq rq rq rq rq rq rq
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 unitrq rq
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 rq rq
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.
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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 rq
B. Clinical Data rq
C. Sentinel Event Report rq rq
D. Skills Checklist rq
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 rq rq
B. Attain competence rq
C. Reflect a measurable goal rq rq rq
D. Hold nurses accountable rq rq
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 rq rq
B. Evidence-based practice (EBP) rq rq
C. Answering a burning clinical question rq rq rq rq
D. One’s own clinical expertise rq rq rq
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?rq
A. Evaluating cancer treatment rq rq
B. Implementing asepsis maintenance rq rq
C. Planning for complication prevention rq rq rq
D. Discussing prior cancer therapy rq rq rq
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 rq rq rq rq
B. Reviews charts and assesses jury selection rq rq rq rq rq
C. Gives deposition and notifies lawyers of discrepancies
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D. Testifies and establishes standards of care rq rq rq rq rq