The nurse is reviewing a drug label with a drug name written with tall man lettering. Which statement indicates that the nurse has a correct understanding of tall man lettering on a drug label?
The tall man lettering helps to quickly identify that the drug is an injectable drug.
The tall man lettering means that this drug contains a boxed warning.
The tall man lettering means this is a high-alert drug.
The tall man lettering helps to distinguish this drug from other drugs that have similar names.
The Correct Answer is D
A. The tall man lettering helps to quickly identify that the drug is an injectable drug: Tall man lettering does not indicate the route of administration. Injectable and oral forms can both use tall man lettering if name confusion is possible.
B. The tall man lettering means that this drug contains a boxed warning: Boxed warnings are indicated separately on labeling and in the prescribing information, not by tall man lettering. Tall man lettering addresses name confusion, not risk level.
C. The tall man lettering means this is a high-alert drug: High-alert medications are identified by special warnings, not by tall man lettering. Tall man lettering specifically targets drugs with look-alike or sound-alike names.
D. The tall man lettering helps to distinguish this drug from other drugs that have similar names: Tall man lettering emphasizes differences in similar drug names (e.g., “predniSONE” vs. “prednisoLONE”) to prevent medication errors. This strategy is designed to reduce confusion and improve patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
- The order is for everolimus 10 mg PO once daily.
The pharmacy sends the medication to the clinical unit.
The nurse sets up the following proportion to solve the dosage calculation:
2.5 mg: 1 tab :: 10 mg: x tab
Afinitor
(everolimus) tablets
Each tablet contains
2.5 mg
(everolimus)
Rx only
How much medication will the nurse give the patient?
Correct Answer is C
Explanation
A. Question the metformin HCI order: Metformin 500 mg PO daily at 0900 is a standard dose for type 2 diabetes management. There is no immediate concern with the dose or timing that would make it unsafe or require urgent clarification. It can be prepared as scheduled.
B. Prepare to administer the 0900 medications: While administering medications on time is important, the nurse must first ensure that all prescriptions are safe and accurate. Administering digoxin without clarifying a potentially unsafe dose could put the client at risk for toxicity.
C. Clarify the digoxin order: Digoxin 0.25 mg PO daily is commonly prescribed, but decimal errors are a frequent source of medication mistakes. The nurse must verify the order with the healthcare provider before administration to prevent overdose or underdose, which could cause serious cardiac complications.
D. Clarify the hydrochlorothiazide order: Hydrochlorothiazide 25 mg every 12 hours is a typical regimen for hypertension or fluid management. The dose is standard, and there is no immediate safety concern requiring urgent clarification.
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