Test Bank For I.V. Therapeutics Evidence-Based Practice for Infusion Therapy 6th Edition by Lynn Dianne Phillips, Lisa Gorski
Chapter 1
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 diagnosed with gastroenteritis. The client is combative and resists the nurse’s efforts to start the I.V. Which action 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 provide 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 facility. 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 Administration (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Outdated medication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 adhere? 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
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 methods 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 uncontrollable 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 improvement in service is obtained.
e.
Contact The Joint Commission (JCAHO) Web site for standards.
____ 5. While caring for a client, a nurse administers an incorrect dose of medication, causing the client to become ill. The nurse reports the incident to the nurse manager on the 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.
Professional liability insurance
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