A patient is being discharged on long-term oral anticoagulant therapy for arteri

2. Contact the physician's office for follow-up laboratory studies.

The anticoagulant is to disrupt the clot from the lower extremity, if there is bleeding anywhere, not only the nose, the patient should contact the physician. That is also why 2 is correct, you need to communicate with your physician for results on a followup afterwards to make sure everything is as expected. if there is any pain, redness or elevation that would be a sign opposite of healing and you should never "replace" your doses even if you did skip one.

When preparing the patient and family for home or community-based care related to an acute arterial occlusion, discuss the following topics as necessary: incision care; manifestations of complications to be reported, including symptoms of infection or occlusion of the graft or artery; long-term anticoagulant therapy, including the reason, prescribed dose, follow-up laboratory testing and appointments, interactions with other drugs, and manifestations of excessive bleeding; any activity restrictions or dietary modifications; lifestyle modifications to slow atherosclerosis and control hypertension; and measures to promote peripheral circulation and maintain tissue integrity. Nasal bleeding is not expected. Pain in the limb could indicate another clot has formed. Anticoagulant medications should never be “doubled” even in the case of a missed dose. The patient would be encouraged to notify the physician if a dose is missed.