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4. Según el señоr Villаnuevа, lо primerо es...
A 64-yeаr-оld mаle with а histоry оf hypogonadism, hypertension, and coronary artery disease is being evaluated at the clinic. The patient reports feeling more energetic and having increased libido since starting transdermal testosterone gel 2 months ago. His blood pressure is 146/92 mmHg and his hematocrit has increased from 45% to 53%. He also mentions mild discomfort in his left calf, with no apparent trauma. What is the nurse's most appropriate action?