Year Woman Presents Assignment Help: How to Answer This Question
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Original Question
A 65-year-old woman presents with increased pedal edema that began last week. She is on her feet for 8 hours a day at work. Her history is significant for hypertension, hyperlipidemia, hypothyroidism, and heart failure with preserved ejection fraction. The patient’s daily medications are atorvastatin, losartan, levothyroxine, and bumetanide. On physical examination, the clinician notes pitting pedal edema bilaterally. A 2D echocardiogram shows an ejection fraction of 40% to 45%. While educating the patient on wearing compression stockings and raising her limbs at the end of the day, the clinician adjusts her diuretic dose to twice a day. Appropriate management while monitoring this patient would include which of the following? A. Checking blood pressure 2 to 3 times a week B. Writing a work note to decrease the amount of time on her feet C. Periodically monitoring electrolytes D. Providing a referral to a nutritionist to adjust her diet
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