UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2016/17

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1 LJW3 UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2016/17 FOUNDATIONS OF MEDICINES MANAGEMENT MODULE CODE: HLT4085 Date: Monday 21 st November 2016 Time: 10am 11am INSTRUCTIONS TO CANDIDATES: There are 18 questions. Answer 18 (ALL) questions. Marks for parts of questions are shown in brackets. Equipment allowed: Calculator

2 Page 2 of 5 NUMERACY QUESTIONS 1. A bottle of Drug A contains 100ml. How many days will the bottle last if the daily dose is 2.5ml four times a day? 2. Convert the following: 0.3 grams (g) to milligrams (mg) 3. Your patient requires a prescription for antibiotic B. The recommended dose is 5mg/kg every 6 hours orally. Your patient weighs 60kg. What would each dose be in milligrams (mg)? 4. Your patient is prescribed an intravenous infusion of glucose of 1 litre to be given over 8 hours starting at 9.00 am. At 10.am she has a cup of coffee (200ml) and the same again at pm. At 1.30pm she has a glass of orange juice (180ml), followed by a cup of tea (150ml) at 3.30pm What is her total fluid intake over the eight hours? 5. Your patient requires 750 micrograms (mg) of Drug C orally. The tablets available are 250 micrograms. How many tablets would you administer? 6. Your patient requires 150mg of Drug D orally. The solution available is 50 mg/2ml What volume would you need to administer?

3 Page 3 of 5 7. You need to administer an intramuscular injection of 250 micrograms of Drug E. The stock vials are 1mg /ml. What volume would you administer? 8. You are required to administer 25mg of Drug F to your patient orally. The stock solution available is 100mg/5ml. How many millilitres would you administer? 9. Your patient requires a dose of 30 units /kg of Drug G. Your patient weighs 40kg. What dose of G do you need to give? (1mark) 10. Drug H is available as a 25 milligram (mg) tablet. A patient is prescribed 125mg as a once daily dose. How many tablets does the patient need to take to make up the correct dose?

4 Page 4 of 5 MEDICINES MANAGEMENT QUESTIONS 1. Name the 5 processes of medicines administration? (5 marks) 2. What do the following abbreviations on a prescription mean? a) od b) i.m c) on d) p.o e) qds (5marks) 3. Give two reasons why it is important to be aware of a medicines side effects prior to administration 4. You are administering 10pm medicines to Mr Smith. When you look at the drug chart, you notice that the dose of one of his medicines that you are due to administer has increased from 25 milligram (mg) to 250 milligram (mg). When you check the BNF, the normal dose is milligrams (mg) What actions would you take? 5. Give 3 examples of what you must know about a medicine before administration (3marks)

5 Page 5 of 5 6. Give 2 reasons why it is important to report medicines errors? 7. The NMC support self administration where appropriate. What factors should inform your decision-making around self administration in individual patients? Please give 4 examples (4 marks) 8. You are administering medicines to Mrs Smith on an in-patient ward. Mrs Smith is an elderly patient and is prescribed 8 different tablets to be taken at different times during the day. When you look at the drug chart, you can see that she has refused all of her medication over the past few days. What considerations / actions would inform you next steps? Please give 3 examples. (3 marks) Total 36 marks END OF QUESTIONS