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pw PRACTICE FORINFUSION
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pw THERAPY7THEDITION
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,Test f#Bank f#for f#Phillips’s f#Manual f#of f#I.V. f#Therapeutics: f#Evidence-Based f#Practice f#for f#Infusion
f# THERAPY,7THEDITION, LISA GORSKI, ISBN-13: 9780803667044 f# f# f# f#
TABLE OF CONTENTS f# f#
AN OVERVIEW OF PROFESSIONAL
f# f# f#
PRACTICE ISSUES AND
f# f# f#
INFUSIONPWTHERAPYINFECTION
f#
PREVENTION AND OCCUPATIONAL
f# f# f#
RISKS FUNDAMENTALS OF FLUID
f# f# f# f#
AND ELECTROLYTE
f# f#
BALANCEPARENTERAL SOLUTIONS
f# f#
INFUSIONPWEQUIPMENT
PERIPHERAL I.V. CATHETERS: INITIATION f# #f f#
AND MAINTENANCEOF PERIPHERAL
f# f# f#
INFUSIONTHERAPYPHLEBOTOMY
f#
TECHNIQUES
f#
CENTRAL VENOUSPWACCESS f#
COMPLICATIONSOF INFUSION THERAPY: #f #f
PERIPHERAL AND CENTRAL VASCULAR
f# f# f# f#
ACCESSDEVICESINFUSION MEDICATION
f# f#
SAFETY, METHODS, AND ROUTES
f# f# f# f#
TRANSFUSION
f#
THERAPYPAR
ENTERA
LNUTRITION
f#
,Chapter#f1: f#Professional f# Practice f#Concepts f#for#fInfusion f#Therapy
Multiple f#Choice
Identifyf#thechoicethat f#best f#completes f# thef#statement f#or f#answers f#thef#question.
1. A f#nurse f#is f#attempting f#to f#initiate f#I.V. f#therapy f#for f#a f#client f#diagnosed f#with f#gastroenteritis.
f#The f#client f#is f#combativeand f#resists f#the f#nurse’s f#efforts f#to f#start f#the f # I.V. f#Which
f#action f#by f#thenursewould f#resultinan intentional f# tort? pw
A. Failing to f#document f#the f#client’s f#combativeness
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B. Refusingf#to f#wearf#gloves f#whilestarting f#the f#I.V.
C. Failing to f#report the f#client’s f#combativenessto f#aphysician
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D. Starting an f# I.V.#fon f#acoherentf#client f#against f#thef#client’s#fwishes
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2. A f#nurse f#who f#is f#caring f#for f#clients f#understands f#that f#he f#or f#she f#should f#provide f#care f#that
f#meets f#at f#least f#theminimum f#standards f#of f#practice f#for f#nursing. f#Which f#phrase
f#regarding f#standards f#of f#practice f#is f#mostaccurate?
A. Standards of#fpractice f#focus f#on f# thecareproviderf#and f#defineneeded f# activities f#and f#behaviors.
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B. Standardsofpractice f# focus f#on f#therecipient f#of f#caref#and f#describef#the f#outcomes f#ofcare.
C. Standardsofpractice#f are f#written f#laws f#enacted f#by f#thelegislature.
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D. Standards of f#practice are theresult f # of the performance f # of a f#function orprocess.
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3. Which incident would
h h f # cause f# a f # nurse to
h f# be f # named as a defendant in a
h h h pw h f# malpracticesuit?
A. The nursenotes f#blood f# return f#noted f#in f#aperipheral f # IVcatheter f#line.
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B. The nursereports f# earlyf#signs f#of f#infection f#from f#a f#peripheral f#lineinserted f#by
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f#anurse f#on anotherunit w
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C. The nursef#places f#two f#peripheral f # IV f#catheters f#in f#a f#patient f#requiringemergency f# IV
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f#fluids, f#but onlyuses f# onew
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D. The nurserecords f#nerve f#damagecaused f#by f#aperipheral f # IV f#catheter
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f#inserted f#the f#previousshiftnurse
4. The f#intravenous f#route f#is f#the f#most f#commonly f#used f#infusion f#route. f#The f#nurse f#notes f#that f#a f#client
f#diagnosed f#withmetastatic f#cancer f#is f#receiving f#an f#intraosseous f#infusion. f#Should f#the f#nurse
f#question f#the f#healthcarepro-vider’sf#order?
A. Yes;f#thehealthcareprovideris f#not f#following f#INS f#recommendations.
B. No;thef#nurseshould f#neverf#question f#the f#healthcare#fprovider’s order f#when f#it f#comesto pw
f#chemother- f#apy.
C. Yes; f#this f#routeofinfusion f# is f#dangerous f#andnot f # accepted f#bythe f # INS.
D. No;#fotherroutesmight f#be f#appropriate f#forf#administrationf#in f#certain f#situations
f#and f#with selectedfluids f#and f#medications.
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, 5. Whichcompetencyf#assessment f#method f#is f#acceptablef#fornursing f#competencies f#which f#will
f#occur f#onceperyearin f#the f#skilled f#nursing f#facility?
A. Client f#Evaluation
B. Clinical Data pw
C. SentinelEvent f#Report
D. SkillsChecklist
6. Oneof f#theprimaryvalues f#of f#the f#INS f#designation f # of f#CRNI (certified f#registered f#nurse, f#infusion) f#is f#to:
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A. Protect f#thepublic
B. Attain competence
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C. Reflect a measurable f # goal
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D. Hold nurses f#accountable
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7. Which problem-solvingf#approach f#tof#clinical f#practiceis f#the nursemanager f#applying
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f#when f#determiningpatientpreference f#and f#values f#for f#successful f#clinical
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f#outcomes?
A. Effectivehealth-carepractice
B. Evidence-based practice f# (EBP) pw
C. Answering aburning f# clinical f#question pw
D. One’s own clinical f#expertise
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8. Seven days f # ago the f#PICC nurse inserted f # aPICC f # lineinto f # the right f # forearm ofa f # client f # diagnosed with
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cancer. Wf# f# f# f# f# f# f# f # f # hen the f#nurse checks f#the f#client's f#site today, f#which nursing
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f#process outcome is
h h
determined?
A. Evaluating cancer f#treatment pw
B. Implementingasepsisf#maintenance
C. Planning for complication f # prevention
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D. Discussingprior f#cancer f#therapy
9. Which f#compensatory f#model f#has f#been f#applied f#if f#the f#hospitalization f#rate f#for f#CLABSIs
f#(central f#line- f#associatedbloodstream f#infections) f#decreased f#significantly f#over f#the
f#last f#quarter?
A. VBP
B. HHRP
C. HAC
D. HHVBP
10. Whenf#called f#as f#an f#expert f#witness f#in f#an f#upcomingcase, f#the f#nursemanager f#employs f#which f#techniques?
A. Examinesf#evidencef#and f#givef#advice
B. Reviewscharts f#and f#assesses f#juryselection
C. Givesdeposition f#and f#notifies f#lawyersofdiscrepancies
D. Testifies and f#establishes f#standardsoff#care
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