Which event or condition is most likely to result in chronic ...

[clmills979]

Which event or condition is most likely to result in chronic pain?
 
  a. Severe headache associated with a spinal tap
  b. Insertion of a needle for intravenous (IV) therapy
  c. Hip replacement surgery
  d. Osteoarthritis

Question 2

An older patient with a history of liver impairment is prescribed diltiazem (Cardizem) SR 120 mg twice a day for supraventricular tachycardia. What is the nurse's best action before giving the first dose?
 
  a. Hold the drug and contact the prescriber.
  b. Administer the drug as ordered.
  c. Give 60 mg four times a day.
  d. Give an XR capsule of 240 mg.

[elizabethrperez]

Answer to Question 1

D
The definition of chronic pain involves the length of time that pain is experienced and the pro-gressive nature of the problem causing the pain. Osteoarthritis meets these criteria. A headache caused by fluid loss during a spinal tap is severe but has a duration of only 3 to 5 days. Hip re-placement surgery, although resulting in postoperative pain, is time limited and often relieves chronic hip pain. IV needle insertion is considered painful by some patients, but is short proce-dural pain.

Answer to Question 2

A
When a calcium channel blocker such as diltiazem is prescribed for an older patient, or a patient with hepatic (liver) or renal (kidney) impairment, lower than normal initial doses are prescribed. The nurse should hold the drug and contact the prescriber about the dosage that has been pre-scribed for this patient.