INFUSION THERAPY 8TH o o
o EDITION LISA GORSKI ISBN-13: o o o
9780803667044 o
Test oBank ofor oPhillips’s oManual oof oI.V. oTherapeutics: oEvidence-Based oPractice ofor oInfusion oTherapy,
o8TH oEdition, oLisa oGorski, oISBN-13: o9780803667044
Table oof oContents
An oOverview oof oProfessional oPractice oIssues oand oInfusion oTherapy
oInfection oPrevention oand oOccupational oRisks
Fundamentals oof oFluid oand oElectrolyte oBalance
oParenteral oSolutions
Infusion oEquipment
Peripheral oI.V. oCatheters: oInitiation oand oMaintenance oof oPeripheral oInfusion oTherapy
oPhlebotomy oTechniques
Central oVenous oAccess
Complications oof oInfusion oTherapy: oPeripheral oand oCentral oVascular oAccess oDevices
oInfusion oMedication oSafety, oMethods, oand oRoutes
Transfusion oTherapy
oParenteral oNutrition
,Chapter o1: oProfessional oPractice oConcepts ofor oInfusion oTherapy
Multiple oChoice
Identify othe ochoice othat obest ocompletes othe ostatement oor oanswers othe oquestion.
1. A o nurse o is oattempting oto oinitiate oI.V. otherapy o for oa oclient odiagnosed owith ogastroenteritis. oThe oclient
ois ocombative oand oresists othe onurse’s oefforts oto ostart othe oI.V. oWhich oaction oby othe onurse owould oresult
oin oan o intentional otort?
A. Failing oto odocument othe oclient’s ocombativeness
B. Refusing oto owear ogloves owhile ostarting othe o I.V.
C. Failing oto oreport othe oclient’s ocombativeness oto oa ophysician
D. Starting oan oI.V. oon oa ocoherent oclient oagainst othe oclient’s owishes
ANS: oD
Page: o28
Feedback
A. Failure oto odocument odoes onot oresult oin odirect o injury oor oharm oto oa oclient oand o is,
therefore, onot oan ointentional otort.
B. Refusing o to o wear o gloves o may o inadvertently o result o in o injury o or o harm, o but o is
o not
considered oan ointentional otort.
C. Failure oto oreport othe obehavior oto oa ophysician odoes onot oresult o in odirect oinjury oor
harm oto othe oclient oand o is onot oconsidered oan o intentional otort.
D. Intentional otorts oinclude oassault oand obattery, o false oimprisonment, ousing orestraints
as oa oform oof ofalse oimprisonment, odefamation oof ocharacter, oand obreach oof oconfi-
odentiality.
2. A o nurse owho ois ocaring ofor oclients ounderstands othat ohe oor oshe oshould oprovide ocare othat omeets oat oleast othe
ominimum ostandards oof opractice ofor onursing. oWhich ophrase oregarding ostandards oof opractice ois omost
oaccurate?
A. Standards oof opractice ofocus oon othe ocare oprovider oand odefine oneeded oactivities oand obehaviors.
B. Standards oof opractice ofocus oon othe orecipient oof ocare oand odescribe othe ooutcomes oof ocare.
C. Standards oof opractice oare owritten olaws oenacted oby othe olegislature.
D. Standards oof opractice oare othe oresult oof othe operformance oof oa o function oor oprocess.
ANS: oA
Page: o16
Feedback
, A. Standards oof opractice oare ocriteria o for omeasuring operformance oagainst othe ooptimal
oachievable odegree oof oclinical oexcellence. oThese ostandards oare oformulated oto
ocommunicate oexpectations oof onursing opractice. oAgencies oare oinfluential oin odevel-
oping ostandards oof opractice.
B. Standards oof opractice ocriteria ofocus oon othe ocare oprovider, onot othe ocare orecipient
C. Standards oof opractice oare oevidence-based oguidelines, opolicies, oor oprotocols onot
written olaws.
D. Standards oof opractice omay ooccur oin oresponse oto ounanswered oquestions, olimited
oresearch, oand/or operformance o issues; o not onecessarily othe oresult oof othe operfor-
mance oor oprocess.
3. Which oincident owould ocause oa onurse oto obe onamed o as oa odefendant oin oa omalpractice osuit?
A. The onurse onotes oblood oreturn onoted oin oa operipheral oIV ocatheter oline.
B. The onurse oreports oearly osigns oof oinfection ofrom oa operipheral o line o inserted oby oa onurse oon
oanother ounit
C. The onurse oplaces otwo operipheral oIV ocatheters oin oa opatient orequiring oemergency oIV ofluids, obut
oonly ouses oone
D. The onurse orecords onerve odamage ocaused oby oa operipheral oIV ocatheter oinserted othe oprevious
oshift onurse
ANS: oD
Page: o29
Feedback
A. Blood oreturn oat othe ocatheter osite ois onormal.
B. Reporting oearly osigns oof o infection o is oexpected.
C. Using oone operipheral oIV ocatheter o may obe owarranted.
D. The onurse ohad oa oduty oto odo ono oharm oto othe oclient oand othe oclient osuffered oactual
harm oor oinjury.
4. The ointravenous oroute ois othe omost ocommonly oused o infusion oroute. oThe onurse onotes othat oa oclient
odiagnosed owith ometastatic ocancer ois oreceiving oan ointraosseous oinfusion. oShould othe onurse oquestion othe
ohealthcare opro- ovider’s oorder?
A. Yes; othe ohealthcare oprovider ois onot ofollowing oINS orecommendations.
B. No; othe onurse oshould onever oquestion othe ohealthcare oprovider’s oorder owhen oit ocomes oto
ochemother- oapy.
C. Yes; othis oroute oof oinfusion o is odangerous oand onot oaccepted oby othe oINS.
D. No; oother oroutes omight obe oappropriate ofor oadministration oin ocertain osituations oand owith
oselected ofluids oand o medications.
ANS: oD
, Page: o3
Feedback
A. Infusion oNurses oSociety o(INS) oStandards, o infusion otherapy ois oprovided owith oat-
tention oto osafety oand oquality owith oindividualized ocare othat ois ocollaborative, ocultur-
oally osensitive, oand oage oappropriate.
B. If othere oare oquestions oabout ocare othe onurse o(and oclient) oshould o feel ocomfortable
enough oto oask othe ohealthcare oprovider oand o evidence-based ocriteria oshould obe othe
basis ofor opractice oanswers.
C. This ois oan oacceptable orouter oper oINS ostandards. oThere oare orisks, osome ocomplica-
otions oare oserious oand oeven o life-threatening, oand o many ocomplications oare oprevent-
oable owith osound onursing ocare. oThe onurse omust ohave oa othorough ounderstanding
oand oknowledge oof othe otype oof oaccess odevice obeing outilized, opotential
ocomplications oof
infusion osolutions, oand osafe oinfusion oadministration.
D. The ointravenous o(I.V.) oroute ois othe omost ocommonly oused oinfusion oroute; ohowever,
oother o infusion oroutes oinclude o intraosseous, osubcutaneous, oand o intraspinal. oIn othis
ocase, othe o intraosseous oroute omight obe oappropriate ofor oadministration owith othe ose-
lected ofluids oand omedications.
5. Which ocompetency oassessment omethod ois oacceptable ofor onursing ocompetencies owhich owill ooccur oonce
oper oyear o in othe oskilled o nursing o facility?
A. Client oEvaluation
B. Clinical oData
C. Sentinel oEvent oReport
D. Skills oChecklist
ANS: oD
Page: o4
Feedback
A. Client oevaluation ois oconcern othat omay odrive ocompetency ovalidation, obut ois onot oa
method oof ocompetency oassessment.
B. Clinical odata ois obased oon ooutcome ocriteria othat odrives ocompetency ovalidation, obut
is onot oa omethod oof ocompetency oassessment.
C. Sentinel oevent oreports oare oanother oform oof ocompetency ovalidation, obut othey oare
not omethods oof ocompetency oassessment.
D. Competency oassessment omethods oinclude operformance omeasures orelated oto opa-
tient ocare, osuch oas oskills, oknowledge, oability, oand o judgement othat oincludes oobjec-
otive, omeasureable oassessment oof othe oactual operformance oin othe oform oof ochecklists.
6. One oof othe oprimary ovalues oof othe oINS odesignation oof oCRNI o(certified oregistered onurse, oinfusion) o is oto:
oA. oProtect othe opublic
B. o Attain ocompetence
o EDITION LISA GORSKI ISBN-13: o o o
9780803667044 o
Test oBank ofor oPhillips’s oManual oof oI.V. oTherapeutics: oEvidence-Based oPractice ofor oInfusion oTherapy,
o8TH oEdition, oLisa oGorski, oISBN-13: o9780803667044
Table oof oContents
An oOverview oof oProfessional oPractice oIssues oand oInfusion oTherapy
oInfection oPrevention oand oOccupational oRisks
Fundamentals oof oFluid oand oElectrolyte oBalance
oParenteral oSolutions
Infusion oEquipment
Peripheral oI.V. oCatheters: oInitiation oand oMaintenance oof oPeripheral oInfusion oTherapy
oPhlebotomy oTechniques
Central oVenous oAccess
Complications oof oInfusion oTherapy: oPeripheral oand oCentral oVascular oAccess oDevices
oInfusion oMedication oSafety, oMethods, oand oRoutes
Transfusion oTherapy
oParenteral oNutrition
,Chapter o1: oProfessional oPractice oConcepts ofor oInfusion oTherapy
Multiple oChoice
Identify othe ochoice othat obest ocompletes othe ostatement oor oanswers othe oquestion.
1. A o nurse o is oattempting oto oinitiate oI.V. otherapy o for oa oclient odiagnosed owith ogastroenteritis. oThe oclient
ois ocombative oand oresists othe onurse’s oefforts oto ostart othe oI.V. oWhich oaction oby othe onurse owould oresult
oin oan o intentional otort?
A. Failing oto odocument othe oclient’s ocombativeness
B. Refusing oto owear ogloves owhile ostarting othe o I.V.
C. Failing oto oreport othe oclient’s ocombativeness oto oa ophysician
D. Starting oan oI.V. oon oa ocoherent oclient oagainst othe oclient’s owishes
ANS: oD
Page: o28
Feedback
A. Failure oto odocument odoes onot oresult oin odirect o injury oor oharm oto oa oclient oand o is,
therefore, onot oan ointentional otort.
B. Refusing o to o wear o gloves o may o inadvertently o result o in o injury o or o harm, o but o is
o not
considered oan ointentional otort.
C. Failure oto oreport othe obehavior oto oa ophysician odoes onot oresult o in odirect oinjury oor
harm oto othe oclient oand o is onot oconsidered oan o intentional otort.
D. Intentional otorts oinclude oassault oand obattery, o false oimprisonment, ousing orestraints
as oa oform oof ofalse oimprisonment, odefamation oof ocharacter, oand obreach oof oconfi-
odentiality.
2. A o nurse owho ois ocaring ofor oclients ounderstands othat ohe oor oshe oshould oprovide ocare othat omeets oat oleast othe
ominimum ostandards oof opractice ofor onursing. oWhich ophrase oregarding ostandards oof opractice ois omost
oaccurate?
A. Standards oof opractice ofocus oon othe ocare oprovider oand odefine oneeded oactivities oand obehaviors.
B. Standards oof opractice ofocus oon othe orecipient oof ocare oand odescribe othe ooutcomes oof ocare.
C. Standards oof opractice oare owritten olaws oenacted oby othe olegislature.
D. Standards oof opractice oare othe oresult oof othe operformance oof oa o function oor oprocess.
ANS: oA
Page: o16
Feedback
, A. Standards oof opractice oare ocriteria o for omeasuring operformance oagainst othe ooptimal
oachievable odegree oof oclinical oexcellence. oThese ostandards oare oformulated oto
ocommunicate oexpectations oof onursing opractice. oAgencies oare oinfluential oin odevel-
oping ostandards oof opractice.
B. Standards oof opractice ocriteria ofocus oon othe ocare oprovider, onot othe ocare orecipient
C. Standards oof opractice oare oevidence-based oguidelines, opolicies, oor oprotocols onot
written olaws.
D. Standards oof opractice omay ooccur oin oresponse oto ounanswered oquestions, olimited
oresearch, oand/or operformance o issues; o not onecessarily othe oresult oof othe operfor-
mance oor oprocess.
3. Which oincident owould ocause oa onurse oto obe onamed o as oa odefendant oin oa omalpractice osuit?
A. The onurse onotes oblood oreturn onoted oin oa operipheral oIV ocatheter oline.
B. The onurse oreports oearly osigns oof oinfection ofrom oa operipheral o line o inserted oby oa onurse oon
oanother ounit
C. The onurse oplaces otwo operipheral oIV ocatheters oin oa opatient orequiring oemergency oIV ofluids, obut
oonly ouses oone
D. The onurse orecords onerve odamage ocaused oby oa operipheral oIV ocatheter oinserted othe oprevious
oshift onurse
ANS: oD
Page: o29
Feedback
A. Blood oreturn oat othe ocatheter osite ois onormal.
B. Reporting oearly osigns oof o infection o is oexpected.
C. Using oone operipheral oIV ocatheter o may obe owarranted.
D. The onurse ohad oa oduty oto odo ono oharm oto othe oclient oand othe oclient osuffered oactual
harm oor oinjury.
4. The ointravenous oroute ois othe omost ocommonly oused o infusion oroute. oThe onurse onotes othat oa oclient
odiagnosed owith ometastatic ocancer ois oreceiving oan ointraosseous oinfusion. oShould othe onurse oquestion othe
ohealthcare opro- ovider’s oorder?
A. Yes; othe ohealthcare oprovider ois onot ofollowing oINS orecommendations.
B. No; othe onurse oshould onever oquestion othe ohealthcare oprovider’s oorder owhen oit ocomes oto
ochemother- oapy.
C. Yes; othis oroute oof oinfusion o is odangerous oand onot oaccepted oby othe oINS.
D. No; oother oroutes omight obe oappropriate ofor oadministration oin ocertain osituations oand owith
oselected ofluids oand o medications.
ANS: oD
, Page: o3
Feedback
A. Infusion oNurses oSociety o(INS) oStandards, o infusion otherapy ois oprovided owith oat-
tention oto osafety oand oquality owith oindividualized ocare othat ois ocollaborative, ocultur-
oally osensitive, oand oage oappropriate.
B. If othere oare oquestions oabout ocare othe onurse o(and oclient) oshould o feel ocomfortable
enough oto oask othe ohealthcare oprovider oand o evidence-based ocriteria oshould obe othe
basis ofor opractice oanswers.
C. This ois oan oacceptable orouter oper oINS ostandards. oThere oare orisks, osome ocomplica-
otions oare oserious oand oeven o life-threatening, oand o many ocomplications oare oprevent-
oable owith osound onursing ocare. oThe onurse omust ohave oa othorough ounderstanding
oand oknowledge oof othe otype oof oaccess odevice obeing outilized, opotential
ocomplications oof
infusion osolutions, oand osafe oinfusion oadministration.
D. The ointravenous o(I.V.) oroute ois othe omost ocommonly oused oinfusion oroute; ohowever,
oother o infusion oroutes oinclude o intraosseous, osubcutaneous, oand o intraspinal. oIn othis
ocase, othe o intraosseous oroute omight obe oappropriate ofor oadministration owith othe ose-
lected ofluids oand omedications.
5. Which ocompetency oassessment omethod ois oacceptable ofor onursing ocompetencies owhich owill ooccur oonce
oper oyear o in othe oskilled o nursing o facility?
A. Client oEvaluation
B. Clinical oData
C. Sentinel oEvent oReport
D. Skills oChecklist
ANS: oD
Page: o4
Feedback
A. Client oevaluation ois oconcern othat omay odrive ocompetency ovalidation, obut ois onot oa
method oof ocompetency oassessment.
B. Clinical odata ois obased oon ooutcome ocriteria othat odrives ocompetency ovalidation, obut
is onot oa omethod oof ocompetency oassessment.
C. Sentinel oevent oreports oare oanother oform oof ocompetency ovalidation, obut othey oare
not omethods oof ocompetency oassessment.
D. Competency oassessment omethods oinclude operformance omeasures orelated oto opa-
tient ocare, osuch oas oskills, oknowledge, oability, oand o judgement othat oincludes oobjec-
otive, omeasureable oassessment oof othe oactual operformance oin othe oform oof ochecklists.
6. One oof othe oprimary ovalues oof othe oINS odesignation oof oCRNI o(certified oregistered onurse, oinfusion) o is oto:
oA. oProtect othe opublic
B. o Attain ocompetence
