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 Mrs.Woodson is a 71 year old female with a long history of hypertensive heart disease.

)     Mrs.Woodson is a 71 year old female with a long history of hypertensive heart disease. She has been

admitted for an evaluation of increasing fatigue and activity intolerance. She had a near syncopal episode today while walking stairs. Her vital signs reveal a blood pressure of 138/90 mmHg, Pulse of 100 bpm and bounding, respirations of 20 bpm. And her temperature is normal. She has jugular vein distention and + pitting bilateral lower extremity edema to the mid-calf. The AGACNP knows that initial diagnostic testing should include

A)    Chest CT

B)     Blood cultures

C)     A B-type natriuretic peptide

D)    Bilateral lower extremity dopplers

 
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