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The nurse is assessing a 67-year-old patient that comes to the ED with complains of SOB, BLE edema, fatigue and periorbital edema. The vital signs are : T 37.2; BP 98/59; HR 109; RR32; O2 89% RA. Upon the physical exam the nurse assesses that the patient is pale, diaphoretic, has periorbital edema, crackles in the lungs, and bilateral lower extremity edema. The nurse should:A) Suspect the patient has congestive heart failure.B) Suspect the patient has kidney failure.C) Check for the presence of exophthalmos.D) Check for the present of an allergic reaction.
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