Manual of I V Therapeutics 6th Edition By Gorski - Test Bank

Manual of I V Therapeutics 6th Edition By Gorski – Test Bank

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Sample Questions Are Posted Below

Chapter 5: Infusion Equipment

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.

____ 6. A nurse is preparing to administer I.V. cyclosporine. To prevent leaching of diethylhexyl phthalate (DEHP) by this medication, the nurse should ensure that:

a.	the pharmacy provides the cyclosporine in a polyvinyl chloride (PVC) bag.
b.	cyclosporine is compatible with the client’s other medications.
c.	the cyclosporine is administered through non-PVC I.V. tubing.
d.	cyclosporine is administered by a physician.

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____ 1. A critical-care nurse is using a 0.22-mm filter for the delivery of infusion therapy. According to the Infusion Nurses Society Standards of Practice (2011), for nonlipid-containing solutions that require filtration, a 0.2-mm filter should be

a.	air eliminating.
b.	particulate retentive.
c.	fat emboli reducing.
d.	bacterial retentive.

____ 2. A client with osteomyelitis is admitted to the acute-care hospital to begin infusion therapy. The client needs infusion therapy for 3 weeks and has poor venous access. The I.V. team registered nurses are competent to insert peripherally inserted central catheters, as well as midline catheters. Which should be taken into consideration when selecting the most appropriate venous access device? SELECT ALL THAT APPLY.

a.	The pH and osmolarity of prescribed therapy
b.	The interventional radiology support
c.	The time it takes to insert the venous access device
d.	The patient’s understanding and caregiver support for managing catheter upon discharge

Chapter 5: Infusion Equipment

Answer Section

MULTIPLE CHOICE

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.