A patient with a history of congestive heart failure presents with dyspnea, cough, and peripheral edema. On physical examination, the patient is found to be hypotensive with diminished distal pulses. Crackles in the lungs and chest x-ray findings indicate the presence of pulmonary congestion. Laboratory testing reveals that renal insufficiency is also present. What initial treatment should the nurse give the patient?

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The Cardiac Medicine Certification (CMC) exam is designed for certified nurses currently practicing in areas such as CCU, combined ICU/CCU, medical ICU, telemetry, progressive care, heart failure clinics/home care, interventional cardiology, cardiac catheterization labs and/or electrophysiology units. Exam content: Since all eligible candidates must hold a clinical nursing specialty certification, the 90-item subspecialty exams concentrate solely on the Synergy Model component of Clinical Judgment. Although components such as patient teaching and collaboration are very important in providing... Show more

A patient with a history of congestive heart failure presents with dyspnea, cough, and peripheral edema. On physical examination, the patient is found to be hypotensive with diminished distal pulses. Crackles in the lungs and chest x-ray findings indicate the presence of pulmonary congestion. Laboratory testing reveals that renal insufficiency is also present. What initial treatment should the nurse give the patient?