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PLEASE ANSWER THIS QUESTION FROM THIS CASE;
Mr. Luke’s vital signs are temperature 98.1°F(36.7°C), blood pressure 110/50, pulse 65, and respiratory rate of 19. His oxygen saturation is 98% on room air. The result of a serum D-dimer is 7 μg/mL. Physical exam reveals that his left calf circumference measurement is ¾ of an inch larger than his right leg calf circumference. Mr. Luke’s left calf is warmer to the touch than his right. He will have a noninvasive compression/ doppler flow study (Doppler ultrasound) to rule out a DVT in his left leg.
1.          The health care provider in the emergency department chooses not to assess Mr. Luke for a positive Homan’s sign. What is a Homan’s sign and why did the health care provider defer this assessment?
2.         the diagnostic cues gathered during Mr. Luke’s examination in the emergency department that indicates a possible DVT.
3.         Virchow’s triad and the physiological development of a DVT.
4.-Â Â Â Â Â Â Â Â common pharmacologic therapy options for postsurgical clients to help reduce the risk of a DVT.
5.-Â Â Â Â Â Â Â Â Mr. Luke’s noninvasive compression/doppler flow study (Doppler ultrasound) shows a small thrombus located below the popliteal vein of his left leg. While a positive DVT is always of concern, why is the health care provider relieved that the thrombus is located there and not in the popliteal vein?
6.-Â The preferred diagnostic test for assessing a DVT is contrast venography. Discuss this test and its risks and benefits.
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7.-Mr. Luke was admitted to the hospital for observation overnight. He is being discharged back to the rehabilitation unit with the following prescribed discharge instructions:
(a)Â Â Â bed rest with bathroom privileges (BRP) with the elevation of the left leg for 72 hours;
(b)Â Â Â thromboembolic devices (TEDs);
(c)Â Â Â continue with enoxaparin 75 mgÂ
(d)Â subcutaneously (SQ) every 12 hours;
(e)Â Â Â warfarin sodium 5 mg by mouth (PO) per day starting tomorrow;
(f)    nicotine transdermal system 21 mg per day for 6 weeks, then 14 mg per day forÂ
2 weeks, and then 7 mg per day forÂ
2 weeks;
(g)Â Â Â acetylsalicylic acid 325 mg PO once daily;
(h)   prothrombin time (PT) and international normalized ratio (INR) daily;
(i)    occult blood (OB) test of stools; (i) have vitamin K available; and (j) vital signs every four hours. Provide a rationale for each of the prescribed discharge instructions.
10. What is an inferior vena cava (IVC) filter and for which clients is this filter indicated?
11. symptoms the nurse at the rehabilitation center should watch for that could indicate that Mr. Luke has developed a PE.
12Because of the DVT, Mr. Luke is at risk for the post-phlebitic syndrome (also called post-thrombotic syndrome or PTS). Discuss the incidence, cause, symptoms, and prevention of this potential long-term complication. The
SCIENCE
HEALTH SCIENCE
NURSING
GERI LECTU NUR202