I.V. Therapeutics Evidence Based Practice for Infusion Therapy 6th Edition By Lynn Dianne Phillips, Lisa Gorski-Test Bank

Chapter 6: Techniques for Initiation and Maintenance of Peripheral Infusion TherapyChapter 6: Techniques for Initiation and Maintenance of Peripheral Infusion Therapy
Multiple ChoiceIdentify the choice that best completes the statement or answers the question.
____ 1. A client is being discharged to home with continuous infusion therapy. Which assessment made by the nurse before proceeding with the discharge plan is most important?a. If the client lives aloneb. If the client is medically stablec. If the client has a working telephoned. If the client has a working refrigerator

____ 2. A nurse is time-taping an bag of 1,000 mL that is to infuse over 8 hours. The nurse places the 1100 hour marking at the 500-mL level. At which level should the nurse place the mark for 1200 hours?a. 350 mLb. 375 mLc. 400 mLd. 425 mL

____ 3. A nurse is inspecting a container of infusate prior to client administration. Prior to use, the infusate solution container should be inspected for:a. clarity, the expiration date, and air clarity, the expiration date, and punctures or clarity, punctures or cracks, and the number of access the number of access ports, the expiration date, and floating particles.

____ 4. A nurse is initiating infusion therapy for a client using a Teflon over-the-needle catheter (ONC). The major hazard associated with the use of Teflon ONCs for peripheral infusion is:a. risk for risk for that they can be used for only 24 that they can remain in place for only 48 hours.

____ 5. A medical-surgical nurse is caring for multiple clients who have peripheral access devices. According to the Centers for Disease Control and Prevention (CDC), how often should the nurse change the clients’ catheters?a. As needed (PRN)b. At 24- to 48-hour intervalsc. At 48- to 72-hour intervalsd. At 72- to 96-hour intervals

____ 6. A nurse is calculating the drip rate before initiating an infusion. Upon which factor(s) should the calculation of the drip rate depend?a. Drop factor of tubingb. Tubing length and filter sizec. Drop factor of the tubing and physician order of mL/hrd. Filter size and number of injection ports on administration set

____ 7. A nurse is preparing to initiate an infusion on a 3-year-old child. Which action should be taken by the nurse initially?a. Explain the procedure Explain the procedure in simple Restrain the child to perform the Provide reading materials before performing venipuncture.

____ 8. A nurse is attempting to obtain venous access on a 2-month-old infant. Which cannula size should the nurse select for use with this client?a. 16-gauge scalp vein (metal) needleb. 18-gauge over-the-needle catheter (ONC)c. 22- to 24-gauge ONCd. 23- to 25-gauge scalp vein (metal) needle

____ 9. A nurse is preparing to initiate an infusion on a toddler. To prevent fluid overload, the nurse understands that the toddler’s container should contain no more than:a. 500 mL of 1,000 mL of 24-hour volume requirements of hourly volume requirements of fluid.

____ 10. A nurse is preparing to administer an potassium infusion piggyback to an older adult client diagnosed with hypokalemia. Which age-related body change may cause increased cardiac sensitivity to potassium infusion?a. Decreased muscle strength and a loss of bone densityb. Decreased cough efficiency and decreased vital capacityc. Decreased salivation and decreased gastrointestinal motilityd. Decreased lean body mass and decreased glomerular filtration rate

____ 11. A physician orders an infusion for a dehydrated older adult client diagnosed with congestive heart failure. A nurse prepares to implement the physician’s order. Which would be an appropriate choice of infusion equipment for the older adult client with cardiovascular compromise?a. Inline filterb. T adapterc. Three-way stopcockd. Microdrop administration set

____ 12. A prudent medical-surgical nurse frequently monitors the sites of his older adult clients because:a. older adult clients always pull at their the veins of older adults always rupture, causing older adult clients need to be mobile, therefore placing patency at age-related neurologic changes can reduce tactile sensation, allowing infiltration or phlebitis to become severe before the client notices any discomfort.

____ 13. A nurse is applying a transparent, semipermeable membrane dressing to an site. The nurse should take care to place the dressing so that it:a. covers only the area surrounding the entry can be removed for observation of the site every 4 covers the area surrounding the entry site up to the top margin of the cannula hub to help stabilize the covers the entry site, the catheter hub, and the connection between the device and the administration set tubing.

____ 14. A client is scheduled for surgical insertion of a midline catheter. A nurse explains to the client that a midline catheter is any peripheral catheter that is placed:a. with the tip in any location between the antecubital fossa and the subclavian between the antecubital fossa and 3 to 5 cm distal to the axillary between the antecubital fossa and 6 to 8 cm proximal to one of the innominate between the antecubital fossa and the head of the clavicle, with optimal tip location level with the axilla.

____ 15. According to Infusion Nurses Society Standards of Practice (2011), which of the following should be used to secure the infusion device after insertion?a. Paper tapeb. Stabilization devicec. Suturesd. Combination of transparent, semipermeable membrane dressing and tape