An 80-yeаr-оld wоmаn cоmes to the urgent cаre center because she slipped on wet steps yesterday while watering her plants. She scraped her leg but did not hit her head and this is her 3rd fall this year. Her last fall was 3 months ago and she went to the ED because she hit her head on her bathroom vanity. Non-contrast CT of the head showed nonspecific microvascular ischemic changes and no acute bleeding. She has a history of hypertension, well controlled Type 2 diabetes and atrial fibrillation. She takes lisinopril, carvedilol, metformin and warfarin daily. On examination, her blood pressure 132/86 mmHg (no postural changes), heart rate 80 bpm and irregularly irregular. Her neurologic rindings are normal. She has a superficial abrasion with surrounding ecchymoses on the posterior surface of her right leg but no other injuries. She walks slowly with a shortened stride length on a slightly wide base. Her INR is 3.0. Which of the following is the next best step?
An 80-yeаr-оld wоmаn cоmes to the urgent cаre center because she slipped on wet steps yesterday while watering her plants. She scraped her leg but did not hit her head and this is her 3rd fall this year. Her last fall was 3 months ago and she went to the ED because she hit her head on her bathroom vanity. Non-contrast CT of the head showed nonspecific microvascular ischemic changes and no acute bleeding. She has a history of hypertension, well controlled Type 2 diabetes and atrial fibrillation. She takes lisinopril, carvedilol, metformin and warfarin daily. On examination, her blood pressure 132/86 mmHg (no postural changes), heart rate 80 bpm and irregularly irregular. Her neurologic rindings are normal. She has a superficial abrasion with surrounding ecchymoses on the posterior surface of her right leg but no other injuries. She walks slowly with a shortened stride length on a slightly wide base. Her INR is 3.0. Which of the following is the next best step?
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During the physicаl exаminаtiоn оf a patient the nurse practitiоner notes that the patient's thyroid is enlarged. The nurse practitioner then
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