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A 38-Year-Old Man Comes to the Emergency Department with High-Grade

question 1269

Multiple Choice

A 38-year-old man comes to the emergency department with high-grade fever, shaking chills, productive cough, and shortness of breath. He has had 2 hospital admissions for alcohol-withdrawal seizures in the past year but continues to drink alcohol every day. The patient has no other medical problems and takes no medications. Temperature is 39.7 C (103.5 F) , blood pressure is 100/70 mm Hg, pulse is 110/min, and respirations are 20/min. Skin and mucous membranes are dry. Physical examination reveals crackles and bronchial breath sounds in the right lower lung field. Cardiac examination is unremarkable. Chest x-ray reveals right lower lobe consolidation. The patient is prescribed intravenous antibiotics. Twelve hours later, he develops significant shortness of breath. Respirations are 38/min. Oxygen saturation is 80% on a nonrebreather mask. A repeat chest x-ray is shown in the image below. The patient is intubated immediately. Which of the following is most likely to be present in this patient just prior to intubation?

Definitions:

Biopsychosocial Approach

An interdisciplinary model that looks at the interconnection between biology, psychology, and socio-environmental factors in understanding human health and illness.

Counseling Psychologist

A psychologist who specializes in providing guidance and support to help individuals cope with personal, social, or behavioral issues affecting their well-being.

Clinical Psychologists

Professionals specializing in diagnosing, treating, and preventing mental, emotional, and behavioral disorders through psychological methods.

Providing Therapy

The act of offering professional psychological support and treatment to individuals or groups to improve mental health and well-being.