You are answering a USMLE-style medical question. Question: A 65-year-old woman presented to the emergency room due to progressive dyspnea. She is a known hypertensive but is poorly compliant with medications. The patient claims to have orthopnea, paroxysmal nocturnal dyspnea, and easy fatigability. On physical examination, the blood pressure is 80/50 mm Hg. There is prominent neck vein distention. An S3 gallop, bibasilar crackles, and grade 3 bipedal edema were also detected. A 2d echo was performed, which showed a decreased ejection fraction (32%). Which of the following drugs should not be given to this patient? Options: A) Furosemide B) Nesiritide C) Metoprolol D) Digoxin Reply with ONLY the letter of the correct answer (A, B, C, or D). No explanation.