A Patient Is Taking Digoxin [Lanoxin] and Quinidine to Treat

question 4

Multiple Choice

A patient is taking digoxin [Lanoxin] and quinidine to treat sustained ventricular tachycardia. Before giving medications, the nurse reviews the patient's electrocardiogram (ECG) and notes a QRS complex that has widened by 50% from the baseline ECG. What will the nurse do?

• A) Administer the medications as ordered, because this indicates improvement.
• B) Contact the provider to discuss reducing the digoxin dose.
• C) Contact the provider to request an increase in the quinidine dose.
• D) Withhold the quinidine and contact the provider to report the ECG finding.