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NR293- Pharmacology- Week 1/Unit 2- Nursing Application: Lifespan and Drug Therapy | UPDATED Questions with 100% Verified Answers

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NR293- Pharmacology- Week 1/Unit 2- Nursing Application: Lifespan and Drug Therapy | UPDATED Questions with 100% Verified Answers

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NR293- Pharmacology- Week 1/Unit 2- Nursing Application:
Lifespan and Drug Therapy | UPDATED Questions with 100%
Verified Answers
Chamberlain University-Illinois • NR 293

Q1: Which are the appropriate lifespan considerations for adolescent populations? Select all that apply.
Establish a therapeutic, trusting relationship with the client. Encourage self-expression. Explore the client's
feelings about hospitalization and correct any misconceptions. Allow expression and the opportunity for the
client to ask questions. Discourage participation in own care. Prepare the caregiver in advance for
medication administration and assess their knowledge of the situation.


A: Establish a therapeutic, trusting relationship with the client. Encourage self-expression. Explore the client's feelings
about hospitalization and correct any misconceptions. Allow expression and the opportunity for the client to ask
questions. Lifespan considerations for adolescents include, but are not limited to, establishing a therapeutic, trusting
relationship; preparing the client, not the caregiver, in advance for medication administration and assessing their
knowledge of the situation; allowing expression and the opportunity for the client to ask questions; exploring the
client’s feelings about hospitalization and correcting any misconceptions; encouraging self- expression, individuality,
and self-care; and encouraging participation in care.

Q2: Before administering medication to an adult client for the first time, what information should be gathered
as part of the nursing assessment phase? Select all that apply. Stage of growth and development and related
developmental tasks Medical and surgical history Vital signs and lab values Food and drug allergies
Focused assessment


A: Stage of growth and development and related developmental tasks Medical and surgical history Vital signs and lab
values Food and drug allergies Obtain a complete health and medication history before administering medication to a
client for the first time. Some areas to assess include, but are not limited to: • age • allergies to drugs and food and if
yes, reactions to those drugs/foods • immunization status • vital signs (baseline) • baseline lab values, to include
blood glucose monitoring • head-to-toe assessment findings • medical and surgical history • medication history,
including the use of prescribed, over-the-counter (OTC), and herbal/supplement use The nursing assessment phase
requires a head-to-toe assessment, not a focused assessment. Stage of growth and development and related
developmental tasks would be assessed in a pediatric client.

Q3: Which are part of the nine rights of medication? Select all that apply. Right to negotiate Right time Right
drug Right reason or indication Right patient


A: Right time Right drug Right reason or indication Right patient The nine rights include the right drug, right dose, right
time, right route and form, right patient, right documentation, right reason or indication, right response, and right to
refuse. The nine rights do not include the right to negotiate.

Q4: Lifespan Application: Assessment before administering meds


A: Areas to Assess: -Age, height, weight (kg) -Allergies (drugs/foods) and reactions -Immunization status -Vital signs
(baseline) -Baseline lab values (e.g., blood glucose) -Head-to-toe assessment findings -Growth and development
stage -Medical/surgical history -Medication history (prescribed, OTC, herbal/supplements) -Age-appropriate
medication form (e.g., liquid vs. tablet) -Known adverse effects -Age-related fears about medications/hospital visits
-Family support, caregiver involvement -Nutritional assessment and other psychosocial needs Safety Note: -Check
and recheck pediatric dosages. -Verify high-alert drugs (e.g., insulin) with another licensed provider.

, Q5: According to the Institute for Safe Medication Practices (2018), safeguards to reduce the risk of
high-alert medication errors and minimize harm include which strategies? Select all that apply. Using
auxiliary labels and automated alerts Improving access to information about high-alert drugs Providing full
access to high-alert medications Individualizing the ordering, storage, preparation, and administration of
these medications Employing clinical decision support


A: According to the Institute for Safe Medication Practices (2018), standardizing (not individualizing) the ordering,
storage, preparation, and administration of high-alert medications, improving access to information about high-alert
drugs, limiting (not providing full) access to high-alert medications, using auxiliary labels and automated alerts,
employing clinical decision support and employing redundancies help reduce the risk of medication errors and
minimize harm. Although mistakes may or may not be more common with these drugs, the consequences of an error
are clearly more devastating to clients.

Q6: Lifespan Application: Diagnosis - Annie Brown, Age 12


A: Annie's Assessment Findings: -Blood glucose: 245 (fingerstick & lab-verified) -Skipped insulin dose and poor dietary
choices -Symptoms: Thirsty, shaky, but otherwise feeling okay Example of Priority Nursing Diagnosis for Annie:
Imbalanced nutrition: More than body requirements related to age, growth, and development needs, missed insulin
dose, and poor eating habits. Nursing Priorities for Diabetes Mellitus (DM): -Restore fluid/electrolyte balance -Correct
metabolic abnormalities -Manage underlying causes -Prevent complications -Educate on disease process, self-care,
and treatment needs

Q7: Lifespan Application: Planning - Annie Brown, Age 12


A: Treatment Goals: -Focus on nutrition, meal planning, and weight control. -Normalize insulin activity and blood
glucose levels to prevent complications. Health Education: -Importance of medication compliance. -Consistent
healthy eating habits and understanding the food-insulin relationship. -Develop an individualized meal plan. Client
Goals (SMART): -State medication regimen (e.g., insulin). -Understand growth and development needs. -Identify
glucose safe range. -Verbalize how to prevent glucose shifts. -Identify factors leading to unstable blood glucose.
-State healthy food options. -Verbalize that self-care needs are being met.

Q8: Consider the lifespan considerations in the nursing diagnosis. In the paragraph below, select the
lifespan considerations that relate to adolescents and drug therapy. Imbalanced nutrition: More than body
requirements related to the impact of age and drug therapy, excessive caloric intake to meet growth and
development needs and the inability of the body to use excessive nutrients as evidenced by high blood
glucose levels, missed insulin dose, and poor eating habits.


A: Age Excessive caloric intake to meet growth and development needs Inability of the body to use excessive nutrients
Lifespan considerations include age, excessive caloric intake to meet growth and development needs, and the
inability of the body to use excessive nutrients. High blood glucose, missed insulin dose, and poor eating habits are
evidence, not considerations.

Q9: Goal Setting


A: Keep client goals focused and detailed. Whatever measurement guide you choose, make sure you have a clear
timeline and a defined finish line. Client goals should be achievable in a reasonable amount of time. Make sure the
nursing goals you set are not beyond your client's ability and skill set. Setting goals will not have the maximum effect
if they are not accompanied by deadlines.

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