Congestive heart failure Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 75-year-old man with a history of coronary artery disease and previous myocardial infarction presents to the emergency department. For the past week, the patient has had progressive shortness of breath, nonproductive cough, and bilateral leg swelling. The patient is barely able to provide history due to dyspnea but mentions that lying down worsens his breathing. Temperature is 37.0°C (98.6°F), pulse is 110/min, blood pressure is 110/78 mmHg, respirations are 24/min, and oxygen saturation is 75% on room air. The patient is cyanotic on exam with jugular venous distention, rales throughout all lung fields, and bilateral lower extremity edema. Which of the following is the next best step in management?  

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