Chapter.5 Verified Test Bank Infusion Equipment

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. 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 reduce 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, air vents, 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. 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 (TPN).

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.

7. 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:

A. risk for clotting.

B. risk for infiltration.

C. they can be used for only 24 hours.

D. they can remain in place for only 48 hours.

8. A physician orders an I.V. infusion for a dehydrated older adult client diagnosed with congestive heart failure. A nurse prepares to implement the physician’s order. Which would be an appropriate choice of infusion equipment for the older adult client with cardiovascular compromise?

A. Inline filter

B. T connector

C. Three-way stopcock

D. Microdrop administration set

9. The nurse is taking care of a client with intermittent antibiotic infusions. How does the nurse maintain patency between infusions with an infusion pump?

A. By programming an electronic infusion device to a keep vein open rate.

B. By providing the client with full mobility during infusion on a “smart pump.”

C. By utilizing the anti-free flow alarm on a positive pressure pump.

D. By using an electronic syringe pump for precise delivery.

10. The nurse taking care of a client with sickle-cell anemia is teaching the client about the PCA (patient-controlled analgesia) pump. During an acute attack, which feature of the PCA should the client use?

A. A demand infusion of pain control

B. A multichannel delivery of pain control

C. The drug library for individualized dosing limits

D. The timed infusion for ramping and tapering

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-m 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-m filter should be: (Select all that apply.)

A. air eliminating.

B. particulate retentive.

C. fat emboli reducing.

D. bacterial retentive.

E. blood transfusing.

2. 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.)

A. Outdated medication

B. Misleading packaging

C. Cracked or leaking I.V. solution bag

D. Defective infusion pump tubing

E. New, sealed packaging

3. The home infusion nurse is visiting a client on chemotherapy. What parameters does the nurse anticipate being set on the home infusion pump prior to infusion? (Select all that apply.)

A.Volume to be infused

B. Rate to be infused

C. Air-in-line detection turned on

D. Infusion complete detection turned on

E. Timed infusion light turned on

4. The nurse is preparing to infuse D5W to a newly admitted client diagnosed with dehydration. What nursing interventions must be performed prior to infusing? (Select all that apply.)

A. Inspect fluid containers

B. Implement infection prevention measures

C. Set alarm limits as appropriate

D. Monitor the integrity of the infusion equipment

E. Use a filter for the infusion

5. The nurse notes a possible defect in the device being used for infusion. What steps should be followed by the Risk Management Department? (Select all that apply.)

A. Notify the manufacturer.

B. Identify previously recorded lot numbers.

C. Inform the supervisor.

D. Complete an unusual occurrence report.

E. Notify the FDA

6. The nurse notes that an infusion bag has expired. What steps must the nurse make to ensure proper procedures are followed when products are compromised? (Select all that apply.)

A. Remove from client use.

B. Label the bag as expired.

C. Report the compromised bag according to organization policies and procedures.

D. Inspect for further functionality.

E. Evaluate a new bag.

7. The nurse is teaching a client diagnosed with COPD and testicular cancer how to use the home infusion pump. Which factors would affect the client’s ability to learn how to safely manage the pump? (Select all that apply.)

A. Pain from the cancer

B. Stress from being in the hospital

C. Lack of oxygen due to COPD diagnosis

D. Socioeconomic status

E. Poor eyesight

8. The nurse is documenting the client’s understanding of the home infusion equipment education. Which of the following is important when teaching equipment education? (Select all that apply.)

A. Administration of therapy

B. Return demonstrations

C. Limitation of home visits

D. Operation of equipment

E. Preparation of infusion therapy

9. The nurse has the responsibility to report any and all problems with medical devices. What problems may arise from the misuse of medical devices? (Select all that apply.)

A. Inability to identify potential errors due to computer manipulation

B. Excess volume given due to leaking catheter hubs

C. Improvement of pump safety through reporting of adverse events

D. Misleading labeling from the manufacturer or facility pharmacy

E. Inadequate packaging from the manufacturer or facility pharmacy

10. While on the Risk Management Committee, the nurse plays an important role in the reporting of: (Select all that apply.)

A. Product selection

B. Evaluation of new products

C. FDA regulations of medical devices

D. Jerry-rigging of medical devices

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. Paper tape