Chapter 6: Techniques for Initiation and Maintenance of Peripheral Infusion Therapy

Chapter 6: Techniques for Initiation and Maintenance of Peripheral 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 client is being discharged to home with continuous I.V. infusion therapy. Which assessment made by the nurse before proceeding with the discharge plan is most important?

____     2.   A nurse is time-taping an I.V. 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?

____     3.   A nurse is inspecting a container of infusate prior to client administration. Prior to use, the infusate solution container should be inspected for:

____     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:

____     5.   A medical-surgical nurse is caring for multiple clients who have peripheral I.V. access devices. According to the Centers for Disease Control and Prevention (CDC), how often should the nurse change the clients’ I.V. catheters?

Answer Section

MULTIPLE CHOICE

1. ANS:  A

One common criterion for continuous I.V. infusion therapy in the home setting is having a part-time or full-time caregiver to assist the client with the therapy. Therefore, the nurse should determine whether the client lives alone. The client should also be medically stable, have a refrigerator (for storage of infusion supplies), and have access to a telephone.

PTS:   1                    KEY:  Cognitive Level: Analysis

2. ANS:  B

If the I.V. is scheduled to run over 8 hours, then the hourly rate would be 125 mL/hr. Using 500 mL as the reference point, the next hourly marking should be at 375 mL, which is 125 mL less than 500 mL.

PTS:   1                    KEY:  Cognitive Level: Analysis

3. ANS:  B

To ensure the integrity of solutions that are administered to clients, the nurse must check the solution’s clarity and expiration date before connection to the administration set. To check a glass system for damage, hold the glass bottle up to the light and check for flashes of light and floating particles or discoloration. The glass system should be crystal clear. Squeeze plastic containers to check for pinholes or punctures to the system.

PTS:   1                    KEY:  Cognitive Level: Application

4. ANS:  A

Teflon ONCs tend to increase the risk for infusion-related phlebitis with small peripheral catheters.

Reference: Maki, D.G., & Mermel, L. A. (2008). Infections due to infusion therapy. In W. R. Javis (Ed.), Bennett & Brachman’s hospital infections (5th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.

PTS:   1                    KEY:  Cognitive Level: Application

5. ANS:  D

The CDC (2009) recommends changing a client’s I.V. catheter no more frequently than 72 to 96 hours as long as the hospital phlebitis rate is less than 5%.

Reference: O’Grady, N., & Alexander, M. (2011). Guidelines for prevention of intravascular catheter-related infections. Atlanta, GA: Centers for Disease Control and Prevention.

PTS:   1                    KEY:  Cognitive Level: Application