Reference no: EM133109281

HLTENN007 Administer and monitor medicines and intravenous therapy

Assessment task 1 - Knowledge questions

Question 1. Refer to the enrolled nurses and medicine administration fact sheet. Summarise the legal requirements for practice parameters of enrolled nurse outlined in the fact sheet in relation to the administration of medications including intravenous route of medication administration.

Question 2. Identify and briefly describe the key objectives of the Health (Drugs and Poisons) Regulations applicable to your State/Territory.

Question 3. Identify and briefly describe the key objectives of the Drugs and Poisons Acts applicable to your State/Territory.

Question 4. Identify and briefly describe three (3) NMBA or ICN codes and guidelines that provide a framework for enrolled nurse practice.

Question 5. Briefly describe the key intention of Standard 3 ‘Preventing and Controlling Health Care Associated Infections' of National Safety and Quality Health Standard (NSQHS).

Question 6. What is meant by Visual Infusion Phlebitis Score (VIPS)? Briefly explain its significance in your nursing practice.

Question 7. Interpret the following schedules of medications and provide two (2) examples of each of these schedules:
a. Schedule 2:
b. Schedule 3:
c. Schedule 4:
d. Schedule 8:

Question 8. Complete the following table outlining how you will handle, calculate, administer and store the following forms of medications:

Forms Examples Handling Calculation

(specify the formula where appropriate) Administration Storage
Capsules Gelatin capsules
Drops Amoxicillin eye drops
Inhalants Fluticasone
Liquid Dexamethasone as liquid drug
Lotions and creams Tretinoin cream
Ointments Ketoconazole ointment
Patches Nitroglycerin patches
Powders Cholestyramine powder
Tablets Tab Acetaminophen
Wafers Ondaz Zydis wafers
Suppositories Dulcolax

Question 9. Briefly describe the following terms relevant to the pharmacology of medications using an example:
• Pharmacodynamics
• Pharmacokinetics
• Pharmacotherapeutics

Question 10. Discuss the term ‘toxicology'.

Question 11. Differentiate between adverse reactions and anaphylactic reactions.

Question 12. Discuss the term ‘contraindications' of a medication using an example.

Question 13. Precautions and side effects are common expressions in medicine administration. Explain both the terms with an example for each.

Question 14. What causes the following potential complications of a blood transfusion? Identify a reason for each of these complications.

• Pain at IV site and arm:

• Acute immune haemolytic reaction with signs and symptoms such as loin pain, nausea, vomiting, haematuria and headache:

• Urticaria (hives):

• Flushing, chills or fever:

• Anxiety:

• Wheezing, progressing to cyanosis:

• Anaphylactic reaction including tachycardia, cardiac arrest or shock that may lead to death:

Question 15. How should an enrolled nurse apply the following rights of medication administration?

• Right medication:

• Right dose:

• Right prescription (documentation):

• Right route:

• Right time:

• Right person:

• Right expiration date:

• Right to refuse:

Question 16. Briefly describe the steps involved in administering medications via the buccal route.

Question 17. Briefly describe the steps involved in administering medications using metered dose inhaler and spacer inhaler.

Metered dose inhaler:

Spacer inhaler:

Question 18. Briefly describe the steps involved in administering medications via PEG tube.

Question 19. Briefly describe the steps involved in administering medications via intranasal route (e.g. administering a nasal spray via a pressurised canister).

Question 20. Briefly describe the steps involved in administering medications via vaginal route.

Question 21. Identify and briefly describe an indication to use each of the following IV medication administration methods.

• IV bolus:

• Gravity or drip infusion:

• Electronic pump infusion:

• Via burette:

• IV piggyback and tandem:

• Syringe driver through sub-cut lines:

Question 22. Discuss three (3) factors to be considered while calculating medication dosages.

Question 23. A child with presenting complaints of fever is prescribed 240 mg of Paracetamol. The suspension of Paracetamol is available as 120 mg/5 ml solution. How much ml of the Paracetamol is to be administered? Identify the calculation formula you would use in this situation (10ml)

Question 24. Tab Amitriptiline 30mg is prescribed for a client. It is available as 10 mg tablets. How many tablets need to be administered to get the prescribed dose? Identify the calculation formula you would use in this situation.

Question 25. A client is to be given 960 ml over 24 hours. The drop factor is 15. Calculate how many drops per minute will be delivered. Identify the calculation formula you would use in this situation.

Question 26. A child with a case of burns is prescribed 1200ml over 8 hours. Taking drop factor as 60, calculate the drops/ minute that must be given to the child. Identify the calculation formula you would use in this situation.

Question 27. A client is given IV fluid NYS 500ml at a rate of 42 drops per minute. If the drop factor is 15, how many millilitres per hour is the client receiving? Identify the calculation formula you would use in this situation.

Question 28. Inj. Ceftriaxone comes as 40mg/ml. A 5-year-old weighing 18kg is prescribed 100mg/kg/day. Calculate the dose of Ceftriaxone in ml to be administered for the child a day applying the calculation formula you would use in this situation.

Question 29. A child is diagnosed with a case of leukaemia. He weighs 16.8 kg and is 97 cm tall. The required dose of Vincristine is 2mg/m2 and the drug comes as 1mg/ml concentration. Calculate the dose to be delivered in ml applying the calculation formula you would use in this situation.

Question 30. The recommended dose of gentamycin is 1 to 5 mg/kg IV. Calculate the safe range to administer to an elderly man weighing 86kg? Identify the calculation formula you would use in this situation (86mg-430mg)

Question 31. Cyclophosphamide is prescribed for an elderly client. Prescription: Cyclophosphamide (Cytoxan) 150mg/m2/day, IV, available dosage is 200mg, client's height is 170 cms, weight is 70 kg. Calculate the dose of medication to be administered per day as per the client's body surface area.

Question 32. Dose administration aids (DAA) help clients in the community to better manage their medicines. Briefly describe four (4) factors to be considered while using DAA.

Question 33. Briefly describe the action of acidifiers in controlling pH in our bodies. Provide two (2) examples of acidifiers used for fluid and electrolyte imbalance.

Question 34. Briefly describe the action of alkalisers in treating fluid and electrolyte imbalance. Provide two (2) examples of alkalisers used for fluid and electrolyte imbalance.

Question 35. Briefly describe the action of diuretics in managing fluid and electrolyte imbalance. Provide two (2) examples of diuretics.

Question 36. Provide two (2) examples of electrolytes used for fluid and electrolyte imbalance. Briefly describe the action of one electrolyte you identified in managing fluid and electrolyte imbalance in the body.

Question 37. Briefly describe the action of intravenous replacement solutions. Provide two (2) examples of replacement solutions used for fluid and electrolyte imbalance.

Question 38. Briefly describe the use and actions of nitrous oxide and desflurane as anesthetic agents.

Question 39. Briefly describe the use and actions of ibuprofen as an analgesic agent.

Question 40. Briefly describe the use and actions of omeprazole as an antacid.

Question 41. Briefly describe the use and actions of nitroglycerine as an antianginal.

Question 42. Briefly describe the use and actions of lorazepam as an anti-anxiety medication.

Question 43. Briefly describe the use and actions of metoprolol as an anti-arrhythmic medication.

Question 44. Briefly describe the use and actions of amoxicillin as an antibiotic.

Question 45. Briefly describe the use and actions of atropine as an anticholinergic.

Question 46. Briefly describe the use and actions of warfarin as an anticoagulant.

Question 47. Briefly describe the use and actions of clonazepam as an anticonvulsant.

Question 48. Briefly describe the use and actions of amitriptyline as an antidepressant.

Question 49. Briefly describe the use and actions of loperamide as an antidiarrheal agent.

Question 50. Briefly describe the use and actions of ondansetron as an antiemetic agent.

Question 51. Briefly describe the use and actions of clotrimazole as an antifungal agent.

Question 52. Briefly describe the use and actions of cetirizine as an antihistamine.

Question 53. Briefly describe the use and actions of captopril as an antihypertensive.

Question 54. Briefly describe the use and actions of indomethacin as an anti-inflammatory drug.

Question 55. Briefly describe the use and actions of vincristine as an antineoplastic drug.

Question 56. Briefly describe the use and actions of L-dopa as an antiparkinsonion drug.

Question 57. Briefly describe the use and actions of diphenhydramine as an antipruritic drug.

Question 58. Briefly describe the use and actions of haloperidol as an antipsychotic agent.

Question 59. Briefly describe the use and actions of iodine as an antiseptic agent.

Question 60. Briefly describe the use and actions of pantoprazole as an antiulcer drug.

Question 61. Briefly describe the use and actions of acyclovir as an antiviral drug.

Question 62. Briefly describe the use and actions of alprazolam as an anxiolytic drug.

Question 63. Briefly describe y the use and actions of propranolol as a beta-blocker.

Question 64. Briefly describe the use and actions of salbutamol as a bronchodilator.

Question 65. Briefly describe the use and actions of docusate as a laxative/aperient.

Question 66. Briefly describe the use and actions of ormeloxifene as a contraceptive.

Question 67. Briefly describe the use and actions of beclomethasone as a corticosteroid.

Question 68. Briefly describe the use and actions of fentanyl as a narcotic analgesic agent.

Question 69. Briefly describe the use and actions of risperidone as a neuroleptic agent.

Question 70. Briefly describe the use and actions of levothyroxine as a hormone medication.

Question 71. Briefly describe the use and actions of diazepam as a hypnotic or sedative medication.

Question 72. Briefly describe the use and actions of metformin as a hypoglycemic agent.

Question 73. Briefly describe the use and actions of novorapid.

Question 74. Briefly describe the use and actions of ringer lactate as an electrolyte solution.

Question 75. Briefly describe the use and actions of timolol as an ophthalmic medicine.

Question 76. Briefly describe the use and actions of ciprodex as an otic medicine.

Question 77. Briefly describe the use and actions of xylometazoline as a nasal medication.

Question 78. Briefly describe the use and actions of Lasix as a diuretic.

Question 79. Briefly describe the use and actions of ascorbic acid as a vitamin supplement.

Question 80. Briefly describe how you should transport, store, handle and dispose of blood and blood products safely.

Transportation:

Storage:

Safe handling and checking of blood and blood products:

Disposing off blood and blood products:

Question 81. Furosemide and low pH solutions such as glucose 5% solutions shouldn't be mixed together. Why?

Question 82. Blood transfusion was completed for a patient in your clinical setting. Three hours post transfusion the person complained of severe headache and palpitations. You observed a dark discolouration of his urine. The patient had a blood pressure of 90/70mm of Hg. Identify a possible reason for these symptoms and discuss the most appropriate steps to be taken to address the situation.

Attachment:- Medicines and intravenous therapy.rar