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Assessment 15: Intravenous Therapy Theory

Student Version: Knowledge

Student information
Student name:		Student ID:

Section A – Program/Course details
Qualification code:	HLT54115	Qualification title:	Diploma of Nursing
Unit code:	HLTENN007	Unit title:	Administer and monitor medicines and intravenous Therapy

Section B – Assessment task details
Assessment number:	15	Semester/Year:	Semester 2 /2020
Due date:	04 / 12 / 2020	Duration of assessment:
Assessment task results:	This assessment task will be marked as:
Ungraded result: Satisfactory or Not Satisfactory ☒ Other (eg points): Graded once deemed satisfactory
Section C – Instructions to students
Task instructions: Please complete Student cover page to this assignment. The assignment must be submitted within Due date. Check the due date Any student who does not achieve Competency will need to resubmit. Assignments marked RESUBMIT must be handed in within 2 weeks of the student receiving it back. This Assignment will require references used and source materials must be accurately cited using APA referencing (a guide is available on the Holmesglen website → Learning Commons. Students require a minimum of 5 references for this assessment. Plagiarism is not acceptable. The laws of copyright mean that you cannot copy, or cut and paste text from resource material. The assignment must be in your own words and must be referenced appropriately when you have taken your ideas from another source. Direct quotes must be kept to the absolute minimum and must be referenced appropriately. Submitted assignments will be uploaded to Turnitin to ensure students have not breached Holmesglen policy on copyright, plagiarism and collusion. Late submissions will incur deduction of 5% per day until max 50% is reached. A fail will be issued. Typing must be Arial size 12-14. Grading Grading will occur following a satisfactory result. Marks will be allocated AFTER your paper has been deemed satisfactory. These marks will provide you with a graded result. If you do not achieve a satisfactory result, your paper will remain ungraded In the event of failure of an assessment the student’s progress will be reviewed and eligibility for a resit will be determined by the Course Coordinator/Program Manager as per departmental policy listed in the student handbook which includes appropriate attendance. Where relevant, remediation may be offered prior to a resit. A satisfactory result for this exam is 50% graded result is out of 100% Note: Students deemed not eligible for a resit of the assessment may be required to re-enrol and repeat the unit.
Section D – Conditions for assessment
Conditions: Student to complete and attach Assessment Submission Cover Sheet to the completed Assessment Task.
Time allocated for test: See due date. Papers must be completed in black or blue ink only. Students MUST answer all questions Please Access in Bright Space-Complete and upload to Bright Space drop box. Grading These marks will provide you with a graded result. If you do not achieve a satisfactory result, your paper will remain ungraded. This Theory Exam alternative result will contribute to 40% towards FINAL GRADE TO THIS UNIT Grading will occur following a satisfactory result. Marks will be allocated AFTER your paper has been deemed In the event of failure of an assessment the student’s progress will be reviewed and eligibility for a resit will be determined by the Course Coordinator/Program Manager as per departmental policy listed in the student handbook. Where relevant, remediation may be offered prior to a resit. A student who successfully passes a resit shall be awarded a PX for ungraded assessments or 50% for graded assessments. Note: Students deemed not eligible for a resit of the assessment may be required to re-enrol and repeat the unit. Section E – Marking Guide Student Answer Sheet Assessment number: 15 Assessment title: Intravenous Therapy Theory /Alternative Student ID: Student name: Unit code: HLTENN007 Unit title: Administer and monitor Medicines and Intravenous Therapy Date: 01 /12 / /2020
Equipment/resources students must supply:	Equipment/resources to be provided by the RTO:
Student ID Card Pen	Exam paper/computer access Time clock at front of examination room White board at front of room to note time count down. White board pens

SECTION 1

Questions: Provide your responses in the answer boxes below for each question.

	List 4 signs and symptoms of an infected IV site. Answer: 1. 2. 3. 4	Satisfactory response
Yes ☐	No ☐
Mark/1
Comment:	Comment:
Question 2:	Before initiating intravenous therapy, what are the Enrolled Nurses scope of practice responsibilities. List 2 Answer: 1. 2.	Satisfactory response
Yes ☐	No ☐
Mark/1
Comment:
Question 3:	If an Intravenous medication is reconstituted, what does it mean? Answer:	Satisfactory response
Yes ☐	No ☐
Mark/1
Comment:

Question 4:	Define Infiltration at an IV site? Answer:	Satisfactory response
Yes ☐	No ☐
Mark/1
	Comment:
Question 5:	Complete the Scheduling of medications table, using the options Provided. Options: Prescription only medicine or Prescription Animal Remedy Pharmacy medicine Controlled drug Pharmacist only medicine	Satisfactory response
Yes ☐	No ☐
Marks/4
Answer:	Comment:
	Schedule 2
	Schedule3
	Schedule 4
	Schedule 8
Question 6:	Identify 3 (three) advantages of using a volumetric pump to deliver intravenous therapy and medications ( as opposed to a gravity set)	Satisfactory response
Yes ☐	No ☐
Marks/3
Answer: 1._____________________________________________________________________ _______________________________________________________________________ 2._____________________________________________________________________ 3.______________________________________________________________________ ______________________________________________________________________	Comment:
Question 7:	There are three (3) methods for delivering intravenous therapy Fluids and medication. Describe each method, provide one (1) clinical example of when each is used and the duration of administration for each method.
Satisfactory response
Method	Description of Method:	Example and duration of Administration:
Continuous infusion		Duration:
Marks/3
Intermittent infusion	Description of Method:	Example and duration of Administration: Duration:	Yes ☐	No ☐
Marks/3
Yes ☐	No ☐
Bolus injection	Description of Method:	Example and duration of Administration: Duration
Marks/3
Section 1: SATISFACTORY (S) / NOT SATISFACTORY(NS)	MARKS /20

SECTION 2
Question 1:	Why are Arterial lines inserted for? List 2 reasons Answer: 1. 2.	Satisfactory response
Yes ☐	No ☐
Mark /1
	Comment:
Question 2:	Antithrombotic medications such as heparin are contra- indicated in patients with what conditions, or reasons? List 2 Answer: 1. 2.	Satisfactory response
Yes ☐	No ☒
Mark /1
Comment:
Question3:	List the 3 Categories IV solutions fall into? 1. 2 3	Satisfactory response
Yes ☐	No ☐
Mark /1
	Comment

Question4:	A transfusion of red blood cells must be started within 30 minutes from picking up the blood product. In what time frame must the blood product be administered in?	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment
Question5:	Justin is a 26-year-old patient who has had an open appendectomy for a perforated and necrotic appendix. He had a double-lumen CVAD (central venous access device) inserted during his surgery. You have obtained competency in caring for patients with a CVAD, and you pick Justin up from recovery. The two CVAD lumens do not have any infusions running. List two reasons why Justin may require a CVAD	Satisfactory response
Yes ☐	No ☐
Mark /2
Answer: 1. 2.	Comment
Question 6:	For the following intravenous medications, Identify the drug category, List one clinical indication List two adverseeffects.
Medication: IV Amoxicillin Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Medication: IV Pantoprazole Category: ________________________________________ Clinical indication: _________________________________ f) 2 adverse effects: _________________________________ ______________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Medication: IV prednisolone Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Question 6 Cont. :	For the following intravenous medications, Identify the drug category, List one clinical indication List two adverseeffects.
Medication: Metoclopramide Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Medication: I IV Midazolam Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Medication: IV Heparin Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Question 6 Con. t:	For the following intravenous medications, Identify the drug category, List one clinical indication List two adverseeffects.
Medication: IV Frusemide Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Medication: IV Aciclovir Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
Medication: IV epinephrine Category: ________________________________________ Clinical indication: _________________________________ 2 adverse effects: _________________________________ _________________________________	Satisfactory response
Yes ☐	No ☐
Mark /4
	Section 2 : SATISFACTORY (S) / NOT SATISFACTORY(NS)	MARKS / 42

Section 3

Question 1:	What are The Rights management of IV Fluid order checking?	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment
Question 2:	According to the Drug scheduling act 1981, a schedule 8 drug is what type of drugs?	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment
Question 3:	Justin is a 26 year old patient who has had an open appendectomy for a perforated and necrotic appendix. He had a double lumen CVAD (central venous access device) inserted during his surgery. You have obtained competency in caring for patients with a CVAD, and you pick Justin Up from recovery. The two CVAD lumens do not have any infusions running. The CVAD has not had any therapies running since it was inserted. What is the most important safety step required before TPN is connected to the CVAD?	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment
Question4a:	You are caring for Rosie Marks, a 76-year-old woman who has had a total hip replacement yesterday. UR 156990 DOB: 12/04/44 During the surgery, Rosie lost an estimated 460mL of blood, and now has a Haemoglobin of 68. The orthopaedic surgeon has ordered a 1 unit of packed red blood cells to be administered over five (5) hours. Please review the following information: The date today is 19/03/2020. You are preparing the below packed red blood cells for transfusion	Satisfactory response
	Yes ☐	No ☐
			Blood transfusion record information:
		Rosie Marks UR 156990 DOB 12/04/42


		Cross Match taken 17/03/20 Unit number cross-matched: 12244681

		Recipient’s blood type: AB+ Donor blood type: B-

	B RH Negative Bloodproductlabel Collected and processed By The Australian Red Cross ^Unit^{number:12244689} B Rh negative Collection Date : 18/02/2020 ^{Expiry Date : 18/03/2020} Before administering the blood to Rose, explain what you will be checking and preparing once you received the unit from the blood bank. List 4 (four) actions below.
4a.
	Comment:
1.

2.
3.	4 marks
4.
Question 4b:	Describe your role/actions as an Enrolled Nurse when you arrive with RN to the patient’s bedside with the checking practice and during the first 30 minutes of the transfusion: 6 (six) roles/actions required.	Satisfactory response
Yes ☐	No	☐
Answer:
1.___________________________________________________________________	Marks/6
_____________________________________________________________________
2.____________________________________________________________________
_____________________________________________________________________
3____________________________________________________________________ _____________________________________________________________________ 4____________________________________________________________________ _____________________________________________________________________ 5____________________________________________________________________ _____________________________________________________________________ 6_____________________________________________________________________ ______________________________________________________________________

Question 4c: Inspect the above information. Would you administer the blood transfusion to Rosie Marks ? Circle one Answer below : YES Or NO	Comment: 1 Mark
Give 2 reasons why you choose YES OR NO for this questions
___________________________________________________________
________________________________________________	2 Marks
___ ______________________________________________________________________
Section3: SATISFACTORY / NOTSATISFACTORY Marks / 16

SECTION 4

Question 1:	List a condition that Adrenaline is used for ?	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment:
Question 2:	Rupert Dowling has been administered a bolus intravenous dose of Cephazolin and is exhibiting toxicity. His adverse reactions are cardiovascular signs and symptoms. List 4 Answer: 1. 2. 3. 4	Satisfactory response
Yes ☐	No ☐
Mark /1

Question 3:	The pathophysiology of why Rupert is exhibiting these signs and symptoms is due to a chemical released by mast cells. What is the chemical called ?	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment:
Question 4a:	You are caring for Rose Marks, a 72-year-old woman who has had a total hip replacement. During the surgery, Rose lost an estimated 460mL of blood, and now has a Haemoglobin of 68. The orthopaedic surgeon has ordered a unit of packed red blood cells to be administered over three (3) hours. Rose’s baseline vital signs are: HR 72, RR 18, Temp 36.1, BP 114/76, Sp02 97%. When re-checking her vital signs after the infusion commences, they are: HR 124, RR 36, Temp 39.3, BP 98/56, Sp02 89%. Rose is complaining of serve back and abdominal pain, and extreme nausea. Red skin, hives to face, chest, back and arms. 4a. What is occurring with Rose?	Satisfactory response
Yes ☐	No ☒
Mark /1
Answer:	Comment:
Question 4b:	4b. What would your actions be at this time? 4 actions required)	Satisfactory response
Yes ☐	No ☐
Answer: 1. __ 2. 3. 4.	Marks/4 Comment:
Question 5:	Lucy Chu is ordered Amoxicillin 1g IV at 0800. While assessing Lucy at 0800 she complains of nausea and requests Metoclopramide which is ordered as a PRN on her meds chart. List in order your actions to administer these medications? 4 (four) actions required.	Satisfactory response
Yes ☐	No ☐
Answer: 1. _ _ _ 2. _ _ _ 3. _ _ _ 4. _ _ _	Marks/4 Comment:
Section4: SATISFACTORY / NOTSATISFACTORY /12 Marks

SECTION 5
Question 1:	Naloxone is an IV drug that can inhibit the effect of Morphine, thereby reversing adverse effects such as respiratory depression. Pharmacodynamically, Naloxone is an:	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment:
Question 2:	Anti neoplastics drugs are used to treat what conditions:	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment:
Question 3:	Metabolism and excretion of medications in elderly patients may be delayed due to what reasons? List 2	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment:
Question 4:	How often does an IV cannula require a maintenance flush and what solution is best to use and how many ml? Answer:	Satisfactory response
Yes ☐	No ☐
Mark /1
Answer:	Comment:
Question 5:	Where do you dispose Schedule 4 medications ? Answer:	Satisfactory response
Yes ☐	No ☐
Mark /1
Question 6:		Satisfactory response
Yes ☐	No ☒
	Schedule 8 substances are stored in a “lockable storage
	facility” constructed of:

Marks/1
Answer:	Comment:

Question 7:	What is the Enrolled Nurses role in a medical emergency? (MET) You must list 4 (four) actions/ tasks that an Enrolled Nurse may be required to perform.	Satisfactory response
Yes ☐	No ☐
Answer:
1.	Marks/4

2.

3.
	Comment:
4.	.

Section5: SATISFACTORY / NOTSATISFACTORY Marks /10
Section F – Feedback to Student
Has the student successfully completed this assessment task?	Yes	No
☐	☐
MARKS (following satisfactory completion of test) Section1/20 Section2/42 Section3/16 Section4/12 Section5/10 /100
Additional Assessor comments (as appropriate):
Resubmission allowed:	Yes ☐	No ☐	Resubmission due date:
Assessor name:
Assessor signature:
Date: