A Patient Who Has Been Taking Quinidine for Several Years

question 1

Multiple Choice

A patient who has been taking quinidine for several years reports lightheadedness,fatigue,and weakness.The primary care NP notes a heart rate of 110 beats per minute.The serum quinidine level is 6 µg/mL.The NP should:

• A) discontinue the medication immediately.
• B) reassure the patient that this is a therapeutic drug level.
• C) order an ECG, CBC, liver function tests (LFTs), and renal function tests.
• D) admit the patient to the hospital and obtain a cardiology consultation.

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