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7th 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 Therapy
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Infection Prevention and Occupational Risks
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Fundamentals of Fluid and Electrolyte Balance oo oo oo oo oo
Parenteral Solutions
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Infusion Equipment oo
Peripheral I.V. Catheters: Initiation and Maintenance of Peripheral Infusion Therapy
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Phlebotomy Techniques
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Central Venous Access
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Complications of Infusion Therapy: Peripheral and Central Vascular Access Devices
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Infusion Medication Safety, Methods, and Routes
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Transfusion Therapy oo
Parenteral
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Nutrition
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,Chapter 1: Professional Practice Concepts for Infusion Therapy
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Multiple Choice oo
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 oo oo oo oo oo
B. Refusing to wear gloves while starting the I.V. oo oo oo oo oo oo oo
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
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practice 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.
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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 unit
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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 nurseoo oo
4. The intravenous route is the most commonly used infusion route. The nurse notes that a client
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diagnosed with metastatic cancer is receiving an intraosseous infusion. Should the nurse
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question the 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 oo
B. Clinical Data oo
C. Sentinel Event Report oo oo
D. Skills Checklist oo
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 oo oo
B. Attain competence oo
C. Reflect a measurable goal oo oo oo
D. Hold nurses accountable oo oo
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 oo oo
B. Evidence-based practice (EBP) oo oo
C. Answering a burning clinical question oo oo oo oo
D. One’s own clinical expertise oo oo oo
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?
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A. Evaluating cancer treatment oo oo
B. Implementing asepsis maintenance oo oo
C. Planning for complication prevention oo oo oo
D. Discussing prior cancer therapy oo oo oo
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 oo oo oo oo
B. Reviews charts and assesses jury selection oo oo oo oo oo
C. Gives deposition and notifies lawyers of discrepancies
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D. Testifies and establishes standards of care
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