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T e s t B a n k F o r P h i l l i p s ’ s M a n u a l o f I . V . T h e r a p e u t i c s : E v i d e n c e - B a s e d P r a c t i c e f o r I n f u s i o n T h e r a p y 7 t h E d i t i o n B y L i s a G o r s k i 9 7 8 0 8 0 3 6 6 7 0 4 4 C h a p t e r 1 - 1 2 C o m p l e t e G u i d e .
Complete Test bank, All Chapters are included. Chapter 1: Professional Practice Concepts for Infusion Therapy
Multiple Choice Identify the choice that best completes the statement or answers the question. ____ 1. A nurse is attempting to initiate I.V. therapy for a client diagno sed with gastr oenteritis. The client is combative and resists the nurse’s efforts to start the I.V. Which acti on by the nurse would result in an intentional tort? a.Failure to document the client’s combativeness
b.Refusing to wear gloves while starting the I.V.
c.Failure to report the client’s combativeness to a physician
d.Starting an I.V. on a coherent client against the client’s wishes
____ 2. A nurse who is caring for clients understands that he or she should p rovide care that meets at least the minimum standards of practice for nursing. Which phrase regarding standards of practice is most accurate? a.Standards of practice focus on the care provider and define needed activities and
behaviors.
b.Standards of practice focus on the recipient of care and describe the outcomes of
care.
c.Standards of practice are written laws enacted by the legislature.
d.Standards of practice are the result of the performance of a function or process.
Multiple Response Identify one or more choices that best complete the statement or answer the question . ____ 1. A nurse is caring for multiple clients in a rehabilitation facil ity. During the shift, the nurse notes that several medical devices are not functioning properly. According to the Safe Medical Devices Act, which problems should be reported to the U.S. Food and Drug Administrati on (FDA)? SELECT ALL THAT APPLY. a.Outdated medication
b.Misleading packaging
c.Cracked or leaking I.V. solution bag
d.Defective infusion pump tubing
____ 2. A new infusion clinic is being started. The nursing supervisor of the new clinic must conform to specific standards of practice when developing nursing policies and procedures for the new program. To which organizational standards of practice must the nurse manager ad here? SELECT ALL THAT APPLY. a.Centers for Disease Control and Prevention (CDC) guidelines
b.Infusion Nurses Society (INS) standards
c.American Medical Association (AMA) standards
d.Oncology Nursing Society (ONS) standards
____ 3. A staff nurse is serving on a hospital’s quality -assurance task force. On which quality -assurance models is the task force most likely to focus? SELECT ALL THAT APPLY. a.Standards of care WWW.NURSYLAB.COM b. Standards of practice c. Performance improvement d. Continuous quality improvement ____ 4. A nurse is planning for the discharge of a hospitalized client. The nurse reviews the client’ s plan of care to determine whether all client outcomes were achieved. Which method s should the nurse use to evaluate the client’s outcomes? SELECT ALL THAT APPLY. a. Collect data to determine whether standards were met. b. Identify controllable or uncont rollable variables. c. Determine the cause of the problem by comparing actual care with established standards. d. Re-evaluate to determine whether corrective action is effective and improvem ent in service is obtained. e. Contact The Joint Commission (JC AHO) Web site for standards. ____ 5. While caring for a client, a nurse administers an incorrect dose of medicati on, causing the client to become ill. The nurse reports the incident to the nurse manager on t he unit. The nurse manager then notifies risk management. Which risk -management strategies should be used by the nurse in this situation? SELECT ALL THAT APPLY. a. Documentation b. Physical assessment c. Unusual occurrence reports d. Profession al liability insurance ____ 6. When nurses provide care to clients, nursing actions are governed by est ablished standards of nursing care, as well as both state and federal laws. Which are sources of law? SELECT ALL THAT APPLY. a. Constitution b. Statutes c. State Nurse Practice Acts d. Joint Commission standards ____ 7. A new infusion clinic is being started. The nursing supervisor of the new clinic must conform to specific standards of practice when developing nursing policies and pro cedures for the new program. To which organizational standards of practice must the nurse manager ad here? SELECT ALL THAT APPLY. a. Centers for Disease Control and Prevention (CDC) guidelines b. Infusion Nurses Society (INS) standards c. American Medical Associ ation (AMA) standards d. Oncology Nursing Society (ONS) standards WWW.NURSYLAB.COM Chapter 1: Professional Practice Concepts for Infusion Therapy Answer Section MULTIPLE CHOICE 1. ANS: D Intentional torts include assault and battery, false imprisonme nt, using restraints as a form of false imprisonment, defamation of character, and breach of confidentiality . Reference: Cockburn, T., & Madden, B. (2006). Intentional torts cla ims in medical cases. J Law Med, 13 (3), 311 –335. PTS: 1 KEY: Cognitive Level: Application 2. ANS: A Standards of practice are criteria for measuring performance against the opt imal achievable degree of clinical excellence. These standards are formulated to communicate ex pectations of nursing practice. Agencies are influential in developing standards of practi ce. PTS: 1 KEY: Cognitive Level: Application MULTIPLE RESPONSE 1. ANS: B, C, D Misleading packaging, cracked or leaking I.V. solutions bags, and defecti ve infusion pump tubing should all be reported to the FDA because these problems indicate product integrity issues. Ensuring that medical devices in domestic commercial distribution are safe and e ffective for their intended purposes is a professional responsibility. Outdated medication sh ould be discarded and reported to the facility pharmacy. Reference: U.S. Food and Drug Administration, MedWatch. (2005). Voluntary reporting by health professionals. Retrieved from www.fda.gov/medwatch/report/hcp.htm March 11, 2013. PTS: 1 KEY: Cognitive Level: Application 2. ANS: A, B, D The nurse manager must adhere to the guidelines of the CDC, INS, and ONS . The AMA does not provide guidelines for nursing standards of practice. Reference: The Joint Commission PTS: 1 KEY: Cognitive Level: Application 3. ANS: A, C, D The task force is most likely to focus on standards of practice, performa nce improvement, and continuous quality improvement. These quality -assurance models focus on the recipients of care. Standards of practice focus on the provider, and define the activities and be haviors needed to achieve patient outcomes. Reference: Phillips, L. (2010). Manual of I.V. therapeutics : Evidence -based infusion therapy (5th ed.). Philadelphia, PA: F.A. Davis. PTS: 1 KEY: Cognitive Level: Application 4. ANS: A, B, C, D WWW.NURSYLAB.COM
