27. Which of the following is adjustable by the sonographer?

Portion Name: Exit Exam A 79-year-old male patient reports increased dyspnea for several weeks, along with a dry cough and fatigue. He relates that he has not been able to sleep due to shortness of breath unless he sleeps in his recliner. His past medical history is significant for hypertension and coronary artery disease (CAD). He takes aspirin daily, in addition to hydrochlorothiazide (HCTZ) and metoprolol. His blood pressure is 148/90 mm Hg, heart rate is 72/minute, and respirations are 18/minute. He is afebrile and has had a 5 lb. weight increase since his last clinic visit 2 months ago. Examination reveals audible bibasilar rales with lung auscultation and lower leg edema. Which of the following findings might the clinician expect in this condition? (Select all that apply) 1. Jugular venous distension (JVD) 2. Ventricular gallop 3. Elevated brain-natriuretic peptide (BNP)

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