KEY IDEAS & DETAILS: demonstrate comprehension of written directions

Question 1

sequential

Answer 1

step-by-step guidance for the completion of certain tasks

Question 2

words that indicate sequential order

Answer 2

first
then
second
third
finally
now
next
while
when
last
before
after

Question 3

1) first, explain the IV catheter insertion procedure to the patient
2) Next, determine if the patient has needle phobia, and if so, keep the needle out of sight until the last minute
3) while using a soothing tone, encourage the patient not to watch the procedure
4) Before inserting the IV catheter follow infection control protocol by wearing gloves and swabbing the injection site with an alcohol pad
5) when preparing to insert the catheter look for a suitable vein in the patient’s non dominant hand
6) if a vein is not immediately visible carefully use your fingers to locate a suitable vein
7) swab the injection site with an alcohol pad and then don gloves
8) finally, upon successful insertion of the IV catheter secure it with medical tape

1. which of the following procedures is described in the passage?

a. infection control protocol
b. IV catheter insertion
c. location of suitable veins
d. assessment of needle phobia

Answer 3

b. IV catheter insertion

a,c,d are parts of the procedure not the procedure itself

Question 4

1) first, explain the IV catheter insertion procedure to the patient
2) Next, determine if the patient has needle phobia, and if so, keep the needle out of sight until the last minute
3) while using a soothing tone, encourage the patient not to watch the procedure
4) Before inserting the IV catheter follow infection control protocol by wearing gloves and swabbing the injection site with an alcohol pad
5) when preparing to insert the catheter look for a suitable vein in the patient’s non dominant hand
6) if a vein is not immediately visible carefully use your fingers to locate a suitable vein
7) swab the injection site with an alcohol pad and then don gloves
8) finally, upon successful insertion of the IV catheter secure it with medical tape

2. in which of the following ways are steps 1 & 2 related?

a. they describe the steps for inserting a needle
b. they explain why patients have needle phobias
c. they provide alternative choices in the directions
d. they include procedural signal words to show the order of steps

Answer 4

d. they include procedural signal words to show the order of steps

a & b are false about what is conveyed in the steps

c is true in that step 2 includes an alt choice about what to do is a patient has a phobia but it is not an explanation for how steps 1 & 2 are related

Question 5

1) first, explain the IV catheter insertion procedure to the patient
2) Next, determine if the patient has needle phobia, and if so, keep the needle out of sight until the last minute
3) while using a soothing tone, encourage the patient not to watch the procedure
4) Before inserting the IV catheter follow infection control protocol by wearing gloves and swabbing the injection site with an alcohol pad
5) when preparing to insert the catheter look for a suitable vein in the patient’s non dominant hand
6) if a vein is not immediately visible carefully use your fingers to locate a suitable vein
7) swab the injection site with an alcohol pad and then don gloves
8) finally, upon successful insertion of the IV catheter secure it with medical tape

3. which of the following are key terms in the passage that signify order?

a. first when before
b. follow insert look
c. carefully use insert it
d. advance the needle slowly

Answer 5

a. first when before

Question 6

1) first, explain the IV catheter insertion procedure to the patient
2) Next, determine if the patient has needle phobia, and if so, keep the needle out of sight until the last minute
3) while using a soothing tone, encourage the patient not to watch the procedure
4) Before inserting the IV catheter follow infection control protocol by wearing gloves and swabbing the injection site with an alcohol pad
5) when preparing to insert the catheter look for a suitable vein in the patient’s non dominant hand
6) if a vein is not immediately visible carefully use your fingers to locate a suitable vein
7) swab the injection site with an alcohol pad and then don gloves
8) finally, upon successful insertion of the IV catheter secure it with medical tape

4. which of the following steps contradicts step 4?

a. step 2
b. step 5
c. step 7
d. step 8

Answer 6

c. step 7

step 4 instructs the user to wear gloves before swabbing the injection site with an alcohol pad but step 7 instructs the user to swab the injection site with an alcohol pad before donning gloves

Question 7

1) first, explain the IV catheter insertion procedure to the patient
2) Next, determine if the patient has needle phobia, and if so, keep the needle out of sight until the last minute
3) while using a soothing tone, encourage the patient not to watch the procedure
4) Before inserting the IV catheter follow infection control protocol by wearing gloves and swabbing the injection site with an alcohol pad
5) when preparing to insert the catheter look for a suitable vein in the patient’s non dominant hand
6) if a vein is not immediately visible carefully use your fingers to locate a suitable vein
7) swab the injection site with an alcohol pad and then don gloves
8) finally, upon successful insertion of the IV catheter secure it with medical tape

5. which of the following steps is missing from the procedure?

a. then, ask the patient if they have ever had a reaction to needle insertion
b. next, advance the needle slowly and carefully until you feel resistance
c. explain to the patient that you are inserting the needle
d. review with the patient the steps that you performed to ensure understanding

Answer 7

b. next, advance the needle slowly and carefully until you feel resistance

a. repeats the same info as step 2 in the procedure
c. contradicts steps 2 & 3
d. is not necessary and contradicts the use of the signal word finally in step 8