IV Therapy

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Author:
jchikuma
ID:
149153
Filename:
IV Therapy
Updated:
2012-04-21 19:03:48
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Infusion therapy
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Description:
Test #1 Chapter 2
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  1. A home-care nurse provides education regarding basic infection control to the parents of a child with HIV infection. Which instructions should be included in the nurse's education?
    • Cleanse the inside of the nipple of the botthle with salt and rinse well if it becomes slimy
    • Carefully wash all fruits and vegetables
    • Immediately discard any unused food and formula
  2. A nurse on an intensive care unit is caring for a febrile client with a central venous catheter. Which microorganism, present on the skin, poses the greatest threat to the client receiving an intravenous infusion via a central venous catheter?
    Coagulase negative staphylococcus
  3. A nurse reports to a hospital employee health service after receiving a needle stick injury. The nurse is exposed to bloodborne pathogen. The employee health nurse collects information from the nurse regarding the exposure. Which tool assissts in the collection of information regarding exposure to bloodborne pathogens?
    Sharps injury log
  4. A nurse is caring for a client with and intravenous (IV) catheter in the right hand. According to the Centers of Disease Control and Prevention (CDC), how often should the nurse change the client's peripheral device?
    At 72-96 hour intervals
  5. A risk-management nurse is researching ways to prevent needle stick injuries in an inpatient care facility. Which is an example of using engineering control to prevent needle stick exposure?
    Using needleless systems
  6. A nurse is caring for multiple clients on a medical-surgical unit. What is the best method for the nurse to use to prevent the spread of infection among these clients?
    Good hand-washing practices
  7. A nurse is caring for a client who has an intravenous (IV) access. With which sources of contamination should the nurse be concerned when attempting to reduce the client's risk of infection? (select all)
    • Skin
    • Air
    • Entry Ports
  8. A nurse administers a whole-blood transfusion to a client. Several hours later, the nurse finds the client febrile and shivering with a dropping blood pressure and suspects that the transfused blood may have been contaminated. Which microorganism is most frequently found in extrinsic contaminated blood products?
    Pseudomonas species
  9. An infusion team nurse is wearing gloves, gown, and mask. Which item should the nurse remove first when preparing to exit the clients room?
    Gloves
  10. A new client, diagnosed with acquired immunodeficiency syndrome (AIDS), is being seen in a hospital clinic. Which characteristics should a nurse anticipate when taking the health history of a client with immunosuppresion? (select all)
    • Incomplete response to treatment
    • Frequent infections
    • Infections that are more severe than usual
  11. A client with active tuberculosis (TB) is admitted to a hospital. A nurse implements transmission-based precautions when caring for the client because the nurse is concerned about the dissemination of the disease. which statement best descibes dissemination?
    The shedding of microorganisms from a person carrying them into the environment
  12. A nurse is preparing to administer intravenous (IV) chemotherapy for a client diagnosed with cancer. Which are potential occupational risks associated with IV therapy? (select all)
    • Chemical exposure
    • needle stick injuries
    • latex allergies
  13. A nurse teaches a client, newly diagnosed with human immunodeficiency virus (HIV), about the immune system. Which organs should the nurse include when discussing the client's immune system? (select all)
    • The lungs
    • the thymus
    • The bone marrow
  14. A physician writes an order for a nurse to begin administering intravenous (IV) fluids to a client diagnosed with hepatitis A. While implementing this order, to which occupational risks is the nurse exposed?
    • Latex allergy
    • Chemical exposure
    • Needle stick injuries
  15. A newly admitted client informs a nurse that he/she is allergic to kiwi fruit, which causes chemical contact dermatitis. The client's allergy to kiwi should alert the nurse that this client may be at a high risk for:
    Having a latex allergy
  16. A nurse is treating a client for healthcare-associated infections (HAIs). The nurse understands that a HAI infection is:
    Acquired in a healthcare setting
  17. A nurse is preparing to initiate a perpheral infusion. How many seconds should the nurse wash the hands with an antimicrobial soap before beginning the procedure?
    15-20 seconds
  18. A hospitalized client has acquired an infusion-related infection. Which is the most appropriate intervention for a nurse to implement when caring for a client who has an infusion-related infection?
    Monitoring for signs and symptoms of sepsis
  19. A nurse is caring for a hospitalized client who has a healthcare-associated infection. The nurse understands that the links in the chain of infection consist of:
    Agent, the host, and transmission
  20. A nurse is preparing to initiate intravenous (IV) therapy on a client admitted with dehydration. Which precannulation antiseptic agents are acceptable for the nurse to use, according to The Infusion Nurses Society's Standards of Practice, to clense the client's skin? (select all)
    • 2% chlorhexidine gluconate
    • Povidone-iodine
    • 70% Isopropyl alcohol
  21. A preoperative nurse is preparing a client for surgery. When providing a client with intravenous (IV) access, which action by the nurse produces the highest risk of potential contamination for the client's IV line?
    Addition of a stopcock
  22. A nurse is teaching a client, who is immunosuppressed about ways to help the client avoid infections. The nurse teaches the client that the purpose of the immune system is to provide:
    The body with a way to recognize and destroy invading antigens
  23. A hospital has recently adopted a needleless IV system. For which reason did the hospital most likely adopt the needleless system?
    To decrease risk of needle stick injuries
  24. Which of the following constitue the first line of nonspecific defense mechanism?
    Physical and chemical barriers
  25. The complement system consists of 17 different:
    Proteins
  26. The most common immunodeficiency disorders are:
    B-cell immunodeficiencies
  27. The nurse on assessment of a peripheral IV site notes the IV catheter site is red and swollen with purulent drainage under the TSM dressing. The correct nursing intervention is to:
    Culture the site and the catheter, then restart the infusion in a different location
  28. Which of the following describes dissemination?
    Shedding of the microorganisms into the environment from te person carrying them
  29. Which of the followingdescribe the transmission of organisms from source to host? (select all)
    • Contact
    • Airborne
    • Vector-borne
  30. The most important infection control measure for preventing bacteria transmission during infusion therapy is:
    Proper hand hygiene
  31. Which of the following is included in the central line bundles? (select all)
    • Hand hygiene by catheter inserters
    • Chlorhexedine (with alcohol) skin antisepsis of insertion site
    • trained catheter inserters
    • proper selection of type of catheter and insertion site
    • Time out called if proper procedures are not followed (then start again)
  32. Which of the following is the best intervention to prevent a central venous catheter bloodstream infection?
    Follow standard precautions
  33. Which of the following is the recommended method of culture for purulent drainage?
    Semiquantitative

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