Practice Quiz

NCLEX-RN

Category - Pharmacological

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Corinne Sanchez is a PR specialist who was admitted to the facility due to a jabbing chest pain. Further assessment shows increased HR and RR, and the patient reported taking amitryptiline that was prescribed for her anxiety. Laboratory findings show 130 ng/ml drug levels in the blood. All these findings indicate:
  1. Amitriptyline overdose
  2. Under medication of amitryptiline
  3. Anxiety attack
  4. Angina
Explanation
Answer: C - These findings point towards anxiety attack. Options A and B are incorrect; the laboratory results are within the normal therapeutic levels. Chest pain induced by angina and chest pain related to anxiety differ in the quality and duration. Chest pain caused by anxiety is a jabbing pain in the middle of the chest that occurs suddenly. In angina, the chest pain is described as heaviness, pressure or a squeezing sensation in the chest that radiates to the arms, shoulder, and neck.
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