Chapter 5: Infusion Equipment

I.V. Therapeutics Evidence Based Practice for Infusion Therapy 6th Edition by Lynn Dianne Phillips, Lisa Gorski

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Chapter 5: Infusion Equipment

 

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 preparing to administer a preoperative antibiotic I.V. piggyback. Which connection should be used to secure a piggyback administration set to the primary administration set?

a. Slide clamp
b. Luer lock
c. Slip lock
d. Taping with paper tape

 

 

____     2.   The product evaluation committee at a local hospital has decided to purchase a needleless I.V. system to be used throughout the organization. For which reason did the team most likely make this decision?

a. To protect the I.V. line’s integrity
b. To decrease tubing changes
c. To enable quicker blood draws
d. To decrease the risk for needlestick injuries

 

 

____     3.   A nurse is inspecting a container of infusate before client administration. To ensure integrity of a flexible plastic infusate solution container, the nurse should check for:

a. solution clarity, expiration date, and air vents.
b. solution clarity, expiration date, and punctures.
c. punctures, cracks, presence of ports, and clarity.
d. punctures, expiration date, and presence of ports.

 

 

____     4.   The nurse wants to maintain the integrity of a peripheral venous catheter. According to Infusion Nurses Society Standards of Practice (2011), peripheral intermittent locking devices must be kept patent following each catheter use with:

a. heparin.
b. medication.
c. 0.9% bacteriostatic sodium chloride.
d. combination of sodium chloride followed by heparin flush.

 

 

____     5.   A nurse is preparing an I.V. infusion using a Y-type infusate administration set. The nurse is most likely using this administration set to administer:

a. total parenteral nutrition.
b. fat emulsion.
c. primary I.V. solution.
d. packed red cells.

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  B

The male Luer lock has threads that secure and lock the connectors. Taping connectors is not acceptable practice. The slide clamp does not secure connectors but regulates the rate. A slip lock is a type of male adapter that slips into the female end of the equipment; however, there is no mechanism to secure the two pieces of equipment.

 

PTS:   1                    KEY:  Cognitive Level: Application

 

  1. ANS:  D

It is now required that needleless systems be used whenever the risk for needlestick injury can occur from I.V. piggyback, push, or withdrawal of medication from a vial.

 

PTS:   1                    KEY:  Cognitive Level: Application

 

  1. ANS:  B

.

Plastic infusion containers need to be checked for punctures to the plastic material, expiration date of the infusate, and integrity of the solution.

Reference: Phillips, L. D., & Gorski, L. (2014). Parenteral solutions. In Manual of I.V. therapeutics: Evidence-based infusion therapy (6th ed.). Philadelphia, PA: F.A. Davis.

 

PTS:   1                    KEY:  Cognitive Level: Application

 

  1. ANS:  C

Short peripheral catheters should be locked with preservative-free 0.9% sodium chloride (USP) following each catheter use in adults and children.

Reference: Infusion Nurses Society. (2011). Infusion Nursing Standards of Practice. Journal of Infusion Nursing, 34(1S), S60.

 

PTS:   1                    KEY:  Cognitive Level: Application

 

  1. ANS:  D

Y infusate sets are used for administration of blood to facilitate the priming infusate (0.9% sodium chloride) and the blood bag.

Reference: Phillips, L. D., & Gorski, L. (2014). Parenteral solutions. In Manual of I.V. therapeutics: Evidence-based infusion therapy (6th ed.). Philadelphia, PA: F.A. Davis.

 

PTS:   1                    KEY:  Cognitive Level: Application

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