Select the best answer. During a Medicare wellness exam, a 7…
Select the best answer. During a Medicare wellness exam, a 77-year old post-menopausal adult reports intermittent episodes of self-resolving palpitations. The patient walks 3 miles daily and plays tennis twice a week. The patient has a history of hypothyroidism and hypertension which is at goal on amlodipine (Norvasc). The patient has no known drug allergies. Report of a 24-hour Holter monitor shows several runs of atrial fibrillation. An echocardiogram is unremarkable as is a cardiac stress test. In planning care for this client, the NP considers the appropriateness for anticoagulation. Which of the following clinical actions is appropriate based upon evaluation of risk for stroke?