Mr
Subject:NursingPrice: Bought3
Mr. Lee is a 40-year-old, previously but obese (250 lb at 5 feet 9 inches tall) man who comes to see the nurse practitioner with the complaint, "I must have pulled something in my leg, I was walking along and heard a pop and now, 3 days after, my right Leg is very sore and it really hurts to walk." He states that he is self-employed, developing software programs for computers. He says he usually sits at his computer for about 4-5 hours at a stretch, then walks two blocks to his favorite coffee shop for lunch ( a sandwich or a salad with cheese and fruit, and usually a piece of cake or pie). After lunch, he goes back to work for another 5-6 hours. At night, he eats dinner and watches television for 1-2 hours.
His medical history includes CORONARY ARTERY BYPASS 5 years ago for angina, complicated post-operatively by a pulmonary embolus. However, he has not had any problems since then. The nurse's physical assessment reveals his right calf is swollen, slightly flushed , red, warm, and tender to palpation. His right calf measures 42 cm at 20 cm above ankle (medial malleolus); his left leg calf is 34.5 cm at the same location. Homan's sign is positive for pain in the right calf only. He denies numbness and tingling, or loss mobility in either extremity.
Questions
what does it mean by positive Homan signs kindly discuss the answer?
What are the abnormal findings of the patients?
What are the associated/ Risk factors that lead to the condition of Mr. Lee?
Upon palpation by the nurse it was revealed that his right calf measures 42 cm at 20 cm above ankle (medial malleolus); his left leg calf is 34.5 cm at the same location, kindly interpret these findings, it is normal or abnormal findings?
Based upon the situation of Mr. Lee's condition Do you think it is necessary for the nurse to assess for the peripheral pulses and should the nurse use a transducer yes or no? explain briefly the answer.
