Select the correct answer: A 35-year-old adult presents to t…
Questions
Select the cоrrect аnswer: A 35-yeаr-оld аdult presents tо the primary care nurse practitioner with complaints of right calf discomfort. The patient assigns a pain rating of 3 out of 10. The patient is employed as a cashier and stands for long periods of time and reports driving from Orlando to Tampa last week. She is taking low dose oral contraceptives for treatment of perimenopausal symptoms. Vitals: B/P 114/70; Pulse 64 regular; Respirations 16 and unlabored; Temperature 98.2. BMI 34.5 kg/m2 Physical exam Unremarkable general exam. Both extremities are equal in size, color and warm to touch. Obvious varicosities bilaterally. 1+ pedal edema bilaterally. No abnormalities of the foot are noted. Homan's sign is negative. Pedal pulses are 2+ bilaterally. Laboratory findings: CBC - all measures within normal limits Prothrombin time and partial thromboplastin time - within normal limits Highly sensitivite D-dimer test negative SED rate -within normal limts According to American Chest Physician Guidelines, what is the appropriate clinical management plan for this patient at this time?