UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2015/2016

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1 ljs7 UNIVERSITY OF BOLTON SCHOOL OF HEALTH AND HUMAN SCIENCES BSC (HONS) PRE-REGISTRATION NURSING EDUCATION (ADULT) SEMESTER ONE EXAMINATION 2015/2016 FOUNDATIONS OF MEDICINES MANAGEMENT MODULE CODE: HLT4085 Date: Monday 23 November 2015 Time: 9.30 am am INSTRUCTIONS TO CANDIDATES: There are 18 questions. Answer ALL questions. Marks for parts of questions are shown in brackets. Equipment allowed: Calculator and BNF

2 Page 2 of 5 NUMERACY QUESTIONS 1. Convert the following: 600 milligrams (mg) to grams (g) 2. Your patient requires 150mg of Drug A orally. The tablets available are 50 mg. How many tablets would you administer to make up the dose? 3. You are required to administer 40mg of Drug B to your patient orally. The stock solution available is 50mg/5ml. How many millilitres would you administer? 4. Your patient requires a dose of 75units /kg of Drug C. Your patient weighs 80kg. What dose of C do you need to give? 5. You need to administer an intramuscular injection of 250 micrograms of Drug D. The stock vials are 500micrograms /ml. What volume would you administer? 6. Your patient requires a prescription for antibiotic E. The recommended dose is 7.5mg/kg every 8 hours orally. Your patient weighs 24kg. What would each dose be in milligrams (mg)?

3 Page 3 of 5 7. Your patient is prescribed an intravenous infusion of glucose of 1 litre to be given over 6 hours starting at 9.00 am. At am she has a cup of tea (150ml) and the same again at pm. At 2.00pm she has a glass of orange juice (180ml). What is her total fluid intake over the six hours? 8. A bottle of Drug G contains 250ml. How many days will the bottle last if the daily dose is 5ml twice a day? 9. Drug H is available as a 150mg/1ml solution. A patient is prescribed 90mg as a once daily dose. How many milliliters (mls) does the patient need to take to make up the correct dose? 10. Your patient has been prescribed 180mg of drug Y by intramuscular injection. The solution available is 100mg/ml. What volume would you administer?

4 Page 4 of 5 MEDICINES MANAGEMENT QUESTIONS 11. Name the 5 basic principles of safe medicines administration. (5 marks) 12. What do the following abbreviations on a prescription mean? (5 marks) a) i.m b) top. c) p.r d) qds e) nocte 13. Give two reasons why it is important to sign the drug chart when a dose is administered to a patient. (2 marks) 14. What do you think might be important to consider when administering tablets to an elderly patient? Please give three examples. 15. Give three reasons why it would be important to report a medication administration error as soon as possible after it is discovered.

5 Page 5 of In a busy ward environment, what could you do to avoid distractions while administering medicines? (2 marks) 17. Using the BNF, state in which legal category (G.S.L, P.O.M, P or CD) the following medicines are placed a) Gaviscon liquid b) Amoxicillin c) Morphine tablets 18. You are asked to administer Nitrofurantoin 50mg four times a day a) What is the indication for this according to the BNF b) Name 3 different side effects associated with this drug Total 4 marks END OF QUESTIONS