Chapter 1: Professional Practice Concepts for Infusion Therapy

Chapter 1: Professional Practice Concepts for Infusion Therapy

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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?

____     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?

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.

____     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.

____     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.

Answer Section

MULTIPLE CHOICE

1. ANS:  D

Intentional torts include assault and battery, false imprisonment, using restraints as a form of false imprisonment, defamation of character, and breach of confidentiality.

Reference: Cockburn, T., & Madden, B. (2006). Intentional torts claims 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 optimal achievable degree of clinical excellence. These standards are formulated to communicate expectations of nursing practice. Agencies are influential in developing standards of practice.

PTS:   1                    KEY:  Cognitive Level: Application

MULTIPLE RESPONSE

1. ANS:  B, C, D

Misleading packaging, cracked or leaking I.V. solutions bags, and defective 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 effective for their intended purposes is a professional responsibility. Outdated medication should 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, performance 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 behaviors 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