x
n x
n
nx
x
n
x
n x
n
nx nx
I.V
nx
THERA-PEUTICS
EVIDENCE-BASED PRACTICE FOR
nx
nx nx
INFUSIONTHERAPY7THEDITION
nx x
n x
n x
n
LISA GORSKI
nx nx
,Test Bank for Phillips’s Manual of I.V. Therapeutics: Evidence-Based Practice for Infusion Therapy, 7th
nx nx nx nx nx nx nx nx nx nx nx nx nx
Edition, Lisa Gorski, ISBN-13: 9780803667044
nx nx nx nx nx
Table of Contents
nx nx
AnOverviewofProfessionalPracticeIssues andInfusionTherapy
xn xn nx nx xn nx nx nx
Infection Prevention and Occupational Risks
nx nx nx nx nx
FundamentalsofFluidandElectrolyteBalance nx xn xn xn xn
Parenteral Solutions
nx nx
InfusionEquipment nx
Peripheral I.V.Catheters:InitiationandMaintenanceofPeripheral InfusionTherapy
nx xn nx nx nx nx xn nx nx
Phlebotomy Techniques
nx nx
CentralVenousAccess xn nx
ComplicationsofInfusionTherapy:PeripheralandCentralVascularAccessDevices Infusion xn xn xn xn xn nx nx nx nx nx
Medication Safety, Methods, and Routes
nx nx nx nx nx
TransfusionTherapy xn
Parenteral Nutrition
nx nx
,Chapter1: Professional Practice Concepts forInfusion Therapy
nx nx nx nx nx nx nx
Multiple Choice nx
Identify the choice that best completes the statement or answers the question.
nx nx nx nx nx nx nx nx nx nx nx
1. A nurse is attempting to initiate I.V. therapy for a client diagnosed with gastroenteritis. The client is combative
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
and resists thenurse’s efforts to start the I.V. Which action by thenursewouldresult in an intentional tort?
x
n nx nx nx nx nx nx nx nx nx nx nx nx nx x
n nx nx nx nx nx
A. Failing to document the client’s combativeness nx nx nx nx nx
B. Refusing to wear gloves whilestarting the I.V. nx nx nx nx nx nx nx
C. Failing to report the client’s combativenessto a physician nx nx nx nx nx nx nx nx
D. Startingan I.V. on a coherent client against the client’s wishes nx nx nx nx nx nx nx nx nx nx
2. A nurse who is caring for clients understands that he or she should provide care that meets at least the minimum
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
standardsofpractice fornursing. Which phrase regarding standards of practiceis most accurate?
nx nx nx nx nx nx nx nx nx nx nx nx nx nx
A. Standardsofpractice focus on thecare provider and defineneeded activities and behaviors. nx nx nx nx nx nx nx nx nx nx nx nx nx
B. Standardsofpractice focus on therecipient of care and describe the outcomes of care. nx nx nx nx nx nx nx nx nx nx nx nx nx nx
C. Standardsofpractice are written laws enacted bythe legislature. nx nx nx nx nx nx nx nx nx
D. Standards ofpractice are the result of the performance of a function orprocess. nx nx nx nx nx nx nx nx nx nx nx nx nx
3. Which incident would cause a nurseto be named as adefendant in a malpractice suit?
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
A. Thenursenotes blood return noted in a peripheral IVcatheter line.
x
n nx nx nx nx nx nx nx nx nx nx
B. Thenursereports early signs of infection from a peripheral lineinserted by anurseon another unit
nx nx nx nx nx nx nx nx nx nx nx nx nx nx x
n nx nx
C. Thenurseplaces two peripheral IV catheters in a patient requiring emergency IV fluids, but only uses
x
n nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
one nx
D. Thenurserecords nerve damagecaused by aperipheral IV catheterinserted the previous shift nurse
x
n nx nx nx nx nx nx nx nx nx nx nx nx nx nx
4. The intravenous route is the most commonly used infusion route. The nurse notes that a client diagnosed with
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
metastatic cancer is receiving an intraosseous infusion. Should the nurse question the healthcare pro-
nx nx nx nx nx nx nx nx nx nx nx nx nx nx
vider’s order? nx nx
A. Yes; thehealthcare provideris not following INS recommendations. nx nx nx nx nx nx nx nx
B. No;thenurseshould never question the healthcareprovider’sorder when it comesto chemother- apy.
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
C. Yes; this route ofinfusion is dangerous and not accepted by the INS. nx nx nx nx nx nx nx nx nx nx nx nx
D. No;otherroutes might be appropriate for administration in certain situations and with selected fluids
nx nx nx nx nx nx nx nx nx nx nx nx nx nx
and medications. nx nx
, 5. Whichcompetency assessment method is acceptable fornursing competencies which will occuronceper year
nx nx nx nx nx nx x
n nx nx nx nx nx x
n nx
in the skilled nursing facility?
nx nx nx nx nx
A. Client Evaluation nx
B. ClinicalData nx
C. SentinelEvent Report nx nx
D. SkillsChecklist nx
6. Oneof theprimary values of the INS designation of CRNI(certified registered nurse, infusion) is to:
x
n nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
A. Protect thepublic nx nx
B. Attain competence nx
C. Reflect ameasurable goal nx nx nx
D. Hold nurses accountable nx nx
7. Whichproblem-solving approach toclinical practiceis thenursemanager applying when determining patient
nx nx nx nx nx x
n nx nx x
n nx nx nx nx
preference and values for successful clinical outcomes?
nx nx nx nx nx nx nx
A. Effectivehealth-carepractice nx nx
B. Evidence-basedpractice (EBP) nx nx
C. Answering aburning clinical question nx nx nx nx
D. One’sown clinical expertise nx nx nx
8. Seven days ago the PICC nurseinserted aPICC lineinto the right forearm ofaclient diagnosed with cancer. When
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
the nurse checks the client's site today, which nursing process outcome is determined?
nx nx nx nx nx nx nx nx nx nx nx nx nx
A. Evaluatingcancer treatment nx nx
B. Implementingasepsis maintenance nx nx
C. Planningforcomplication prevention nx nx nx
D. Discussingprior cancer therapy nx nx nx
9. Which compensatory model has been applied if the hospitalization rate for CLABSIs (central line-associated
nx nx nx nx nx nx nx nx nx nx nx nx nx
bloodstream infections) decreased significantly over the last quarter?
nx nx nx nx nx nx nx nx
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?
nx nx nx nx nx nx nx nx nx nx nx nx nx nx nx
A. Examines evidence and give advice nx nx nx nx
B. Reviews charts and assesses juryselection nx nx nx nx nx
C. Givesdeposition and notifies lawyers ofdiscrepancies
nx nx nx nx nx nx
D. Testifiesand establishes standardsof care nx nx nx nx nx