clara simmons a 62 year pld patient has come to the medical office with a complaint of weight gsin and puffy hands and feet this isnt like me she says i ecercise reguarly and eatch my diey when u check her bital signs you find ybat her blood pressire is 84/50 her heart raye is 56 and her tesporations are 12 for which of the following disorders might you expect the provider to yest