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Foundations Comprehensive Exam
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Foundations Comprehensive Exam
Foundations
Questions Comprehensive
and Answers Study
ExamFoundations
Guide
Questions
2026_2027.pdf
Comprehensive
and Answers Study
ExamGuide
Questions
2026_2027.pdf
and Answers Study Guide 2026_2027.pdf
,foundations comprehensive exam.pdf foundations comprehensive exam.pdf foundations comprehensive exam.pdf
procedure for hanging a piggyback 1. assess IV site for patency...
2. CLOSE ROLLER CLAMP on the secondary tubing!!!
3. spike the bag
4. clean port closest to primary IV bag w wipe for 15 seconds
5. connect tubing
6. back-prime the secondary bag by holding it at waist level and releasing clamp
7. hang the secondary bag HIGHER than the primary bag using the secondary set
hook
8. program the pump for the secondary bag:
—channel select
—secondary med
—find and choose piggyback med
—choose correct dose and fluid volume
—choose duration (ex: 30 min) to calculate rate
9. unclamp the roller clamp on the secondary tubing and slay
what do you need to check before hanging a secondary check compatibility of the secondary med with the med/fluids already infusing
bag?
infiltration leakage of non-vesicant fluid into surrounding tissue
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s/s of infiltration area is cool, swollen, and painful
what to do for infiltration? discontinue IV, elevate arm, may need compresses
infiltration of a vesicant extravasation
what is a vesicant? a medication that may cause permanent tissue or nerve damage (including
amputation of the limb) if it leaks into tissue and is not treated
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s/s of extravasation pain, burning, change in temp of skin, tightness, blanching of area, slow or
stopped infusion
what to do for extravasation? notify MD stat!!!!
antidote must be given and very short window for treating
examples of vesicants -chemo agents
-vasopressors
-vancomycin
phlebitis inflammation of the intimal layer of the vein
-chemical OR mechanical trauma to the vein
s/s of phlebitis warm, red streak, vein hard and cordlike, painful
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