Based on the patient’s medication list, which of the following medications directly treat hypertension? (Select all that apply)

Choice A reason: Cyanosis requires deoxygenated hemoglobin, not typical in anemia unless hypoxia coexists. Hypertension isn’t linked; anemia often lowers pressure from reduced viscosity, making this pair unlikely in severe cases.

Choice B reason: Pulmonary edema and fibrosis stem from heart or lung disease, not anemia directly. Low hemoglobin reduces oxygen delivery, but these reflect fluid or scarring, not primary anemic findings.

Choice C reason: Dyspnea and tachycardia occur in severe anemia as low hemoglobin limits oxygen transport. The heart compensates with faster beats, and lungs work harder, matching physiologic response to tissue hypoxia.

Choice D reason: Dysrhythmias may occur late in anemia from hypoxia, but wheezing suggests airway issues, not anemia. These aren’t primary findings; respiratory and cardiac strain manifest differently in this condition.

Choice A reason: Community-acquired pneumonia (CAP) fits symptoms like cough or fever from pathogens outside hospitals. It’s the most likely without hospital exposure history, aligning with typical outpatient respiratory infection patterns.

Choice B reason: Cor pulmonale involves right heart failure from lung disease, not primary infection. Maria’s acute symptoms suggest pneumonia, not chronic pulmonary hypertension, making this less probable without supporting cardiac findings.

Choice C reason: Hospital-acquired pneumonia requires recent hospitalization, not indicated here. Maria’s presentation lacks nosocomial context, favoring community-acquired pneumonia as the diagnosis based on typical outpatient symptom onset.