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An Elderly Woman with a History of Heart Failure Calls

Question 58

Multiple Choice

An elderly woman with a history of heart failure calls Emergency Medical Services the day after Thanksgiving to report that she has gradually developed worsening shortness of breath, similar to problems she has had in the past when she has eaten heavy, salty meals. Her heart rate is 110 and irregular; her blood pressure is 180/100, her oxygen saturation is 88%; and her respiratory rate is 30 and labored. Her lungs have rales and rhonchi heard throughout. Which of the following would be an inappropriate emergency treatment?


A) Sublingual nitroglycerin
B) Intravenous morphine
C) Nebulized albuterol
D) Oral aspirin
E) Oxygen by nonrebreather mask
F) Massive intravenous hydration

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