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PHILLIPS'S MANUAL OF I.V. THERAPEUTICS EVIDENCE-BASED PRACTICE
FOR INFUSION THERAPY EIGHTH EDITION BY LISA GORSKI ||ALL CHAPTERS
||LATEST EDITION (LISA GORSKI 2022) ||GRADE A+
8TH EDITION
, TABLE OF CONTENTS
CHAPTER 1: PROFESSIONAL PRACTICE CONCEPTS FOR INFUSION THERAPY .................... 3
CHAPTER 2: INFECTION PREVENTION AND OCCUPATIONAL RISKS .................................... 25
CHAPTER 3: FUNDAMENTALS OF FLUID AND ELECTROLYTE BALANCE ........................... 33
CHAPTER 4: PARENTERAL SOLUTIONS ........................................................................................ 48
CHAPTER 5: INFUSION EQUIPMENT .............................................................................................. 50
CHAPTER 6: PERIPHERAL I.V. CATHETERS: INITIATION AND MAINTENANCE OF
PERIPHERAL INFUSION THERAPY ................................................................................................. 55
CHAPTER 7: PHLEBOTOMY TECHNIQUES .................................................................................... 69
CHAPTER 8: COMPLICATIONS OF INFUSION THERAPY: PERIPHERAL AND CENTRAL
VASCULAR ACCESS DEVICES ......................................................................................................... 75
CHAPTER 9: COMPLICATIONS OF INFUSION THERAPY: PERIPHERAL AND CENTRAL
VASCULAR ACCESS DEVICES ......................................................................................................... 84
CHAPTER 10: INFUSION MEDICATION SAFETY, METHODS, AND ROUTES .......................... 94
CHAPTER 11: TRANSFUSION THERAPY ...................................................................................... 100
CHAPTER 12: PARENTERAL NUTRITION..................................................................................... 109
,CHAPTER 1: PROFESSIONAL PRACTICE CONCEPTS FOR INFUSION THERAPY
ANSWER KEY AT THE END OF CHAPTER
MULTIPLE CHOICE
IDENTIFY THE CHOICE THAT BEST COMPLETES THE STATEMENT OR ANSWERS THE
QUESTION.
1. A NURSE IS ATTEMPTING TO INITIATE I.V. THERAPY FOR A CLIENT DIAGNOSED
WITH GASTROENTERITIS. THE CLIENT IS COMBATIVE AND RESISTS THE NURSE’S
EFFORTS TO START THE I.V. WHICH ACTION BY THE NURSE WOULD RESULT IN AN
INTENTIONAL TORT?
A. FAILING TO DOCUMENT THE CLIENT’S COMBATIVENESS
B. REFUSING TO WEAR GLOVES WHILE STARTING THE I.V.
C. FAILING TO REPORT THE CLIENT’S COMBATIVENESS TO A PHYSICIAN
D. STARTING AN I.V. ON A COHERENT CLIENT AGAINST THE CLIENT’S WISHES
2. A NURSE WHO IS CARING FOR CLIENTS UNDERSTANDS THAT HE OR SHE SHOULD
PROVIDE CARE THAT MEETS AT LEAST THE MINIMUM STANDARDS OF PRACTICE FOR
NURSING. WHICH PHRASE REGARDING STANDARDS OF PRACTICE IS MOST ACCURATE?
A. STANDARDS OF PRACTICE FOCUS ON THE CARE PROVIDER AND DEFINE NEEDED
ACTIVITIES AND BEHAVIORS.
B. STANDARDS OF PRACTICE FOCUS ON THE RECIPIENT OF CARE AND DESCRIBE
THE OUTCOMES OF CARE.
C. STANDARDS OF PRACTICE ARE WRITTEN LAWS ENACTED BY THE LEGISLATURE.
D. STANDARDS OF PRACTICE ARE THE RESULT OF THE PERFORMANCE OF A
FUNCTION OR PROCESS.
3. WHICH INCIDENT WOULD CAUSE A NURSE TO BE NAMED AS A DEFENDANT IN A
MALPRACTICE SUIT?
A. THE NURSE NOTES BLOOD RETURN NOTED IN A PERIPHERAL IV CATHETER LINE.
B. THE NURSE REPORTS EARLY SIGNS OF INFECTION FROM A PERIPHERAL LINE
INSERTED BY A NURSE ON ANOTHER UNIT
, C. THE NURSE PLACES TWO PERIPHERAL IV CATHETERS IN A PATIENT REQUIRING
EMERGENCY IV FLUIDS, BUT ONLY USES ONE
D. THE NURSE RECORDS NERVE DAMAGE CAUSED BY A PERIPHERAL IV CATHETER
INSERTED THE PREVIOUS SHIFT NURSE
4. THE INTRAVENOUS ROUTE IS THE MOST COMMONLY USED INFUSION ROUTE. THE
NURSE NOTES THAT A CLIENT DIAGNOSED WITH METASTATIC CANCER IS RECEIVING
AN INTRAOSSEOUS INFUSION. SHOULD THE NURSE QUESTION THE HEALTHCARE PRO-
VIDER’S ORDER?
A. YES; THE HEALTHCARE PROVIDER IS NOT FOLLOWING INS RECOMMENDATIONS.
B. NO; THE NURSE SHOULD NEVER QUESTION THE HEALTHCARE PROVIDER’S
ORDER WHEN IT COMES TO CHEMOTHER- APY.
C. YES; THIS ROUTE OF INFUSION IS DANGEROUS AND NOT ACCEPTED BY THE INS.
D. NO; OTHER ROUTES MIGHT BE APPROPRIATE FOR ADMINISTRATION IN CERTAIN
SITUATIONS AND WITH SELECTED FLUIDS AND MEDICATIONS.
5. WHICH COMPETENCY ASSESSMENT METHOD IS ACCEPTABLE FOR NURSING
COMPETENCIES WHICH WILL OCCUR ONCE PER YEAR IN THE SKILLED NURSING
FACILITY?
A. CLIENT EVALUATION
B. CLINICAL DATA
C. SENTINEL EVENT REPORT
D. SKILLS CHECKLIST
6. ONE OF THE PRIMARY VALUES OF THE INS DESIGNATION OF CRNI (CERTIFIED
REGISTERED NURSE, INFUSION) IS TO:
A. PROTECT THE PUBLIC
B. ATTAIN COMPETENCE
C. REFLECT A MEASURABLE GOAL
D. HOLD NURSES ACCOUNTABLE
PHILLIPS'S MANUAL OF I.V. THERAPEUTICS EVIDENCE-BASED PRACTICE
FOR INFUSION THERAPY EIGHTH EDITION BY LISA GORSKI ||ALL CHAPTERS
||LATEST EDITION (LISA GORSKI 2022) ||GRADE A+
8TH EDITION
, TABLE OF CONTENTS
CHAPTER 1: PROFESSIONAL PRACTICE CONCEPTS FOR INFUSION THERAPY .................... 3
CHAPTER 2: INFECTION PREVENTION AND OCCUPATIONAL RISKS .................................... 25
CHAPTER 3: FUNDAMENTALS OF FLUID AND ELECTROLYTE BALANCE ........................... 33
CHAPTER 4: PARENTERAL SOLUTIONS ........................................................................................ 48
CHAPTER 5: INFUSION EQUIPMENT .............................................................................................. 50
CHAPTER 6: PERIPHERAL I.V. CATHETERS: INITIATION AND MAINTENANCE OF
PERIPHERAL INFUSION THERAPY ................................................................................................. 55
CHAPTER 7: PHLEBOTOMY TECHNIQUES .................................................................................... 69
CHAPTER 8: COMPLICATIONS OF INFUSION THERAPY: PERIPHERAL AND CENTRAL
VASCULAR ACCESS DEVICES ......................................................................................................... 75
CHAPTER 9: COMPLICATIONS OF INFUSION THERAPY: PERIPHERAL AND CENTRAL
VASCULAR ACCESS DEVICES ......................................................................................................... 84
CHAPTER 10: INFUSION MEDICATION SAFETY, METHODS, AND ROUTES .......................... 94
CHAPTER 11: TRANSFUSION THERAPY ...................................................................................... 100
CHAPTER 12: PARENTERAL NUTRITION..................................................................................... 109
,CHAPTER 1: PROFESSIONAL PRACTICE CONCEPTS FOR INFUSION THERAPY
ANSWER KEY AT THE END OF CHAPTER
MULTIPLE CHOICE
IDENTIFY THE CHOICE THAT BEST COMPLETES THE STATEMENT OR ANSWERS THE
QUESTION.
1. A NURSE IS ATTEMPTING TO INITIATE I.V. THERAPY FOR A CLIENT DIAGNOSED
WITH GASTROENTERITIS. THE CLIENT IS COMBATIVE AND RESISTS THE NURSE’S
EFFORTS TO START THE I.V. WHICH ACTION BY THE NURSE WOULD RESULT IN AN
INTENTIONAL TORT?
A. FAILING TO DOCUMENT THE CLIENT’S COMBATIVENESS
B. REFUSING TO WEAR GLOVES WHILE STARTING THE I.V.
C. FAILING TO REPORT THE CLIENT’S COMBATIVENESS TO A PHYSICIAN
D. STARTING AN I.V. ON A COHERENT CLIENT AGAINST THE CLIENT’S WISHES
2. A NURSE WHO IS CARING FOR CLIENTS UNDERSTANDS THAT HE OR SHE SHOULD
PROVIDE CARE THAT MEETS AT LEAST THE MINIMUM STANDARDS OF PRACTICE FOR
NURSING. WHICH PHRASE REGARDING STANDARDS OF PRACTICE IS MOST ACCURATE?
A. STANDARDS OF PRACTICE FOCUS ON THE CARE PROVIDER AND DEFINE NEEDED
ACTIVITIES AND BEHAVIORS.
B. STANDARDS OF PRACTICE FOCUS ON THE RECIPIENT OF CARE AND DESCRIBE
THE OUTCOMES OF CARE.
C. STANDARDS OF PRACTICE ARE WRITTEN LAWS ENACTED BY THE LEGISLATURE.
D. STANDARDS OF PRACTICE ARE THE RESULT OF THE PERFORMANCE OF A
FUNCTION OR PROCESS.
3. WHICH INCIDENT WOULD CAUSE A NURSE TO BE NAMED AS A DEFENDANT IN A
MALPRACTICE SUIT?
A. THE NURSE NOTES BLOOD RETURN NOTED IN A PERIPHERAL IV CATHETER LINE.
B. THE NURSE REPORTS EARLY SIGNS OF INFECTION FROM A PERIPHERAL LINE
INSERTED BY A NURSE ON ANOTHER UNIT
, C. THE NURSE PLACES TWO PERIPHERAL IV CATHETERS IN A PATIENT REQUIRING
EMERGENCY IV FLUIDS, BUT ONLY USES ONE
D. THE NURSE RECORDS NERVE DAMAGE CAUSED BY A PERIPHERAL IV CATHETER
INSERTED THE PREVIOUS SHIFT NURSE
4. THE INTRAVENOUS ROUTE IS THE MOST COMMONLY USED INFUSION ROUTE. THE
NURSE NOTES THAT A CLIENT DIAGNOSED WITH METASTATIC CANCER IS RECEIVING
AN INTRAOSSEOUS INFUSION. SHOULD THE NURSE QUESTION THE HEALTHCARE PRO-
VIDER’S ORDER?
A. YES; THE HEALTHCARE PROVIDER IS NOT FOLLOWING INS RECOMMENDATIONS.
B. NO; THE NURSE SHOULD NEVER QUESTION THE HEALTHCARE PROVIDER’S
ORDER WHEN IT COMES TO CHEMOTHER- APY.
C. YES; THIS ROUTE OF INFUSION IS DANGEROUS AND NOT ACCEPTED BY THE INS.
D. NO; OTHER ROUTES MIGHT BE APPROPRIATE FOR ADMINISTRATION IN CERTAIN
SITUATIONS AND WITH SELECTED FLUIDS AND MEDICATIONS.
5. WHICH COMPETENCY ASSESSMENT METHOD IS ACCEPTABLE FOR NURSING
COMPETENCIES WHICH WILL OCCUR ONCE PER YEAR IN THE SKILLED NURSING
FACILITY?
A. CLIENT EVALUATION
B. CLINICAL DATA
C. SENTINEL EVENT REPORT
D. SKILLS CHECKLIST
6. ONE OF THE PRIMARY VALUES OF THE INS DESIGNATION OF CRNI (CERTIFIED
REGISTERED NURSE, INFUSION) IS TO:
A. PROTECT THE PUBLIC
B. ATTAIN COMPETENCE
C. REFLECT A MEASURABLE GOAL
D. HOLD NURSES ACCOUNTABLE
