Infusion Medication Safety, Methods, And | Exam Prep Ch.10

Chapter 10: Infusion Medication Safety, Methods, and Routes

Multiple Choice

Identify the choice that best completes the statement or answers the question.

1. An oncologist orders an antineoplastic agent to be delivered to a client via the intraperitoneal route. Intraperitoneal delivery of antineoplastic therapy delivers the drug directly into:

A. an artery.

B. an organ.

C. a vein.

D. a ventricle.

2. A trauma physician orders an intraosseous (IO) infusion for an 8-year-old child. A nurse uses the EZ-IO to insert the IO infusion knowing that intraosseous infusions are used for:

A. home antibiotic therapy.

B. long-term nutritional support in children.

C. delivery of fluids, electrolytes, and medications to children and adults when venous access is not attainable.

D. delivery of fluids and medications only to children younger than 6 years old.

3. A committee is asked to investigate ways provide safe injection practices in a hospital. Which is best practice when administering parenteral medications?

A. Administer medications from a multidose vial to multiple clients.

B. Change the syringe and needle when using a multidose vial.

C. Use single-dose vials for parenteral medications whenever possible.

D. Use sterile gloves when accessing a medication vial.

4. A nurse is about to administer an I.V. push medication. Which action should the nurse take when pushing the medication ?

A. Hold a watch that has a second hand.

B. Determine the amount of time needed to administer.

C. Wipe the insertion site with an alcohol swab seconds.

D. Apply pressure over the catheter insertion site.

5. A physician’s assistant orders two medications for a client and instructs a nurse to administer the medications together. The nurse questions the order because incompatibilities can occur when two drugs are compounded. These incompatibilities may include:

A. intermittent, physical, and biotransformation incompatibilities.

B. drug interaction, synergism, and tolerance.

C. physical, chemical, and therapeutic incompatibilities.

D. anaphylaxis, tolerance, and drug interactions.

6. A nurse administers a medication to a client using an I.V. route. Which is an advantage of I.V. administration of medications?

A. Provides a route for irritating substances, instant drug action, and better control of drug administration

B. Causes speed shock, rapid onset of drug action, and allows for the absorption of drugs in gastric juices

C. Prevents errors in compounding of medication, low risk for infiltration and phlebitis

D. Allows for uninterrupted control of the medication rate, low risk for adverse effects and adsorption

7. A nurse is performing wound care on a client’s epidural site. Which is contraindicated for use when caring for epidural catheters?

A. Povidone-iodine

B. Chlorhexidine

C. Preservative-free medications

D. Alcohol

8. A nurse is ordered to administer an I.V. medication at scheduled intervals over a period of time. The nurse understands that after administering the medication by I.V.:

A. the drugs half-life is terminated.

B. the rate of absorption is controlled over time.

C. the medication is ineffective.

D. the client must be monitored.

9. The nurse is taking care of a client diagnosed with hip dysplasia, who needs to constant pain control. Which route of control is indicated for this client’s long-term pain management?

A. intrathecal

B. peripheral

C. implanted port

D. local patch

10. The nurse is taking care of a client who has had diabetes since birth. The nurse anticipates which type of long-term CVAD for this client?

A. continuous subcutaneous

B. intraosseous

C. completely implanted system

D. PICC

Multiple Response

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

1. A pediatrician orders an intraosseous infusion for a 4-year-old child. A nurse obtains informed consent from the child’s parents after verifying that they understand the potential for which complications? (Select all that apply.)

A. Fat emboli

B. Air embolus

C. Osteomyelitis

D. Extravasation

E. Stress fracture

2. A nurse is administering intraspinal pain control. Which are nursing responsibilities related to the administration of intraspinal medications? (Select all that apply.)

A. Administering preservative-free medications

B. Utilizing and maintaining aseptic technique

C. Providing the client with education about the medication

D. Recognizing both the desired and undesired effects of medication

E. Using a filter needle for all administration sets and solutions

3. A perioperative nurse is educating surgical clients on postoperative pain control. Which statements made by the nurse regarding PCA are true? (Select all that apply.)

A. “The goal of PCA is good pain management with minimal sedation.”

B. “The best results for PCA occur when the client can administer a bolus every 30 to 60 minutes.”

C. “You must be able understand that you activate the dose button when having pain only.”

D. "In the first 12 hours after surgery, the client has the greatest need for pain control."

E. “You control when you activate the dose button on the PCA, not the nurse.”

4. When preparing to piggyback an antibiotic to a primary I.V. infusion, a nurse could hang the medication in which of the following ways? (Select all that apply.)

A. Attach a secondary administration set to the primary I.V.

B. Insert antibiotic via syringe into the primary I.V.

C. Attach a small solution container to the primary IV and infuse directly in tubing.

D. Disconnect the main solution and plug in the secondary administration set

E. Use an elastomeric infusion pump to deliver intermittent through a primary IV.

5. The nurse receives orders to administer chemotherapy via infusion administration. In order to reduce the risk for errors, which ISMP recommendations does the nurse implement? (Select all that apply.)

A. Weigh client on admission

B. Verify order completeness

C. Use verbal orders only

D. Accept all IV abbreviations

E. Inspect all infusate

6. The nurse in the hospice house administers opioids via subcutaneous infusion route. Which advantage justifies the rationale for this route of treatment? (Select all that apply.)

A. Decreased cost

B. Ease of access

C. Requires minimal skill

D. Faster rate of infusion

E. Increased bioavailability

7. The nurse specially trained in intraosseous device placement is concerned when which issue is found on assessment? (Select all that apply.)

A. Client report of pain during infusion

B. X-ray report of fracture above the site

C. Report of infection near insertion site

D. Client report of previous orthopedic surgery

E. Report of indwelling time of less than 24 hours

8. The nurse is preparing to administer medication via an established intrathecal route. Which is a potential advantage of intrathecal access? (Select all that apply.)

A. Medication doses are low compared to epidural doses.

B. Catheter placement is easy compared to epidural access.

C. There is a lower incidence of catheter problems.

D. Long-term drug administration is possible.

E. Medication must pass through the dura mater as a check.

9. The nurse is preparing to administer medication via intrathecal access. What are the specific indications for intrathecal access? (Select all that apply.)

A. Pain responsive to epidural therapy

B. Pain close to catheter site for better coverage

C. Widespread pain

D. Multiple pain sites

E. Pain distant from catheter site

10. The nurse administering medication via the intraspinal route must continue to assess the client for which complications? (Select all that apply.)

A. Urinary retention

B. Respiratory depression

C. Infection

D. Paralysis

E. Sedation

Chapter 10: Infusion Medication Safety, Methods, and Routes

Multiple Choice

Identify the choice that best completes the statement or answers the question.

1. An oncologist orders an antineoplastic agent to be delivered to a client via the intraperitoneal route. Intraperitoneal delivery of antineoplastic therapy delivers the drug directly into:

A. an artery.

B. an organ.

C. a vein.

D. a ventricle.