Ronny, a 72-year-old, presents to the Emergency Department (ED) complaining of 1 large bloody bowel movement today and increased bruising on their body. You ask the patient for their medical history and a list of their home medication and receive the following: History: Hyperlipidemia, Atrial fibrillation, and Hypothyroidism. Medications: Warfarin (Coumadin) 7.5 mg Daily, Atorvastatin (Lipitor) 20mg Daily, Metoprolol (Lopressor) 12.5 mg BID, Levothyroxine (Synthroid) 75 mcg Daily. Patient states: “I also started taking Tylenol ExtraStrength five times a day for the last month because I hurt my knee.” What question should the nurse follow up with after reviewing the patient’s history and medication list? “What is your average heart rate?” “When was the last time you had your levels check and what was it?” “Do you have diabetes mellitus?” “When did you last eat?”
