Phillips’s Manual of I.V. Therapeutics; Evidence-
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Based Practice for Infusion Therapy 8th Edition
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Lisa Gorski Chapters 1 to 12
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,Table of Contents p p
An Overview of Professional Practice Issues and Infusion T
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herapyInfection Prevention and Occupational Risks
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Fundamentals of Fluid and Electrolyte Bal p p p p p
anceParenteral Solutions
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Infusion Equipmentp
Peripheral I.V. Catheters: Initiation and Maintenance of Peripheral Infusion Thera
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pyPhlebotomy Techniques
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Central Venous Access
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Complications of Infusion Therapy: Peripheral and Central Vascular Access Devic
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esInfusion Medication Safety, Methods, and Routes
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Transfusion Thera p
pyParenteral Nutrit
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ion
,Chapterp1:pProfessionalpPracticepConceptspforpInfusionpTherapy
MultiplepChoice
Identifypthepchoicepthatpbestpcompletespthepstatementporpanswerspthepquestion.
1. ApnursepispattemptingptopinitiatepI.V.ptherapypforpapclientpdiagnosedpwithpgastroenteritis.pThepclientpispcombative
pandpresistspthepnurse’speffortsptopstartpthepI.V.pWhichpactionpbypthepnursepwouldpresultpinp
anpintentionalpt
ort?
A. Failingptopdocumentpthepclient’spcombativeness
B. RefusingptopwearpglovespwhilepstartingpthepI.V.
C. Failingptopreportpthepclient’spcombativenessptopapphysician
D. StartingpanpI.V.ponpapcoherentpclientpagainstpthepclient’spwishes
2. Apnursepwhopispcaringpforpclientspunderstandspthatpheporpshepshouldpprovidepcarepthatpmeetspatpleastpthepminim
umpstandardspofppracticepforpnursing.pWhichpphrasepregardingpstandardspofppracticepispmostpaccurat
e?
A. Standardspofppracticepfocusponpthepcarepproviderpandpdefinepneededpactivitiespandpbehaviors.
B. Standardspofppracticepfocusponptheprecipientpofpcarepandpdescribepthepoutcomespofpcare.
C. Standardspofppracticeparepwrittenplawspenactedpbyptheplegislature.
D. Standardspofppracticeparepthepresultpofpthepperformancepofpapfunctionporpprocess.
3. Whichpincidentpwouldpcausepapnurseptopbepnamedpaspapdefendantpinpapmalpracticepsuit?
A. ThepnursepnotespbloodpreturnpnotedpinpapperipheralpIVpcatheterpline.
B. Thepnursepreportspearlypsignspofpinfectionpfrompapperipheralplinepinsertedpbypapnurseponpanotherpun
it
C. ThepnursepplacesptwopperipheralpIVpcatheterspinpappatientprequiringpemergencypIVpfluids,pbutponlypuse
spone
D. ThepnurseprecordspnervepdamagepcausedpbypapperipheralpIVpcatheterpinsertedptheppreviouspshiftpn
urse
4. Thepintravenousproutepispthepmostpcommonlypusedpinfusionproute.pThepnursepnotespthatpapclientpdiagnosedpwithpmetas
taticpcancerpispreceivingpanpintraosseouspinfusion.pShouldpthepnursepquestionpthephealthcareppro-
vider’sporder?
p
A. Yes;pthephealthcarepproviderpispnotpfollowingpINSprecommendations.
B. No;pthepnursepshouldpneverpquestionpthephealthcarepprovider’sporderpwhenpitpcomesptopchemother-
apy.
p
C. Yes;pthisproutepofpinfusionpispdangerouspandpnotpacceptedpbypthepINS.
D. No;potherproutespmightpbepappropriatepforpadministrationpinpcertainpsituationspandpwithpselectedpfl
uidspandpmedications.
, 5. Whichpcompetencypassessmentpmethodpispacceptablepforpnursingpcompetenciespwhichpwillpoccurponcepperpyea
rpinpthepskilledpnursingpfacility?
A. ClientpEvaluation
B. ClinicalpData
C. SentinelpEventpReport
D. SkillspChecklist
6. OnepofpthepprimarypvaluespofpthepINSpdesignationpofpCRNIp(certifiedpregisteredpnurse,pinfusion)pispto:
A. Protectptheppublic
B. Attainpcompetence
C. Reflectpapmeasurablepgoal
D. Holdpnursespaccountable
7. Whichpproblem-
solvingpapproachptopclinicalppracticepispthepnursepmanagerpapplyingpwhenpdeterminingppatientppreferenc
epandpvaluespforpsuccessfulpclinicalpoutcomes?
A. Effectivephealth-careppractice
B. Evidence-basedppracticep(EBP)
C. Answeringpapburningpclinicalpquestion
D. One’spownpclinicalpexpertise
8. SevenpdayspagopthepPICCpnursepinsertedpapPICCplinepintoptheprightpforearmpofpapclientpdiagnosedpwithpcancer.pW
henpthepnursepcheckspthepclient'spsiteptoday,pwhichpnursingpprocesspoutcomepispdetermined?
A. Evaluatingpcancerptreatment
B. Implementingpasepsispmaintenance
C. Planningpforpcomplicationpprevention
D. Discussingppriorpcancerptherapy
9. WhichpcompensatorypmodelphaspbeenpappliedpifpthephospitalizationpratepforpCLABSIsp(centralpline-
associatedpbloodstreampinfections)pdecreasedpsignificantlypoverptheplastpquarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. Whenpcalledpaspanpexpertpwitnesspinpanpupcomingpcase,pthepnursepmanagerpemployspwhichptechniques?
A. Examinespevidencepandpgivepadvice
B. Reviewspchartspandpassessespjurypselection
C. Givespdepositionpandpnotifiesplawyerspofpdiscrepancies
D. Testifiespandpestablishespstandardspofpcare