A Patient with Multisystem Trauma Has Been in the ICU

question 21

Multiple Choice

A patient with multisystem trauma has been in the ICU for 6 days after sustaining a closed head injury, a right-sided pneumothorax, right rib fractures, a grade IV liver laceration, a pancreatic contusion, and a right acetabular fracture.The patient is still intubated and mechanically ventilated and has a chest tube, Foley catheter, and two abdominal drains.The patient's hemodynamic assessment reveals the following values: BP, 94/66 mm Hg; HR, 118 beats/min; T, 38.7° C; CVP, 5 cm H₂O; wedge pressure, 6 mm Hg; cardiac index, 6.1; and systemic vascular resistance, 450 dyns/sec.The patient is at the greatest risk to develop

• A) respiratory failure.
• B) infection.
• C) venous thromboembolism
• D) fat embolism syndrome.

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Definitions:

Community Action

Collective efforts by local communities aimed at achieving common objectives or addressing communal problems.

Supportive Environments

Contexts or settings that provide the necessary resources, encouragement, and conditions to promote well-being and enable individuals to achieve their goals.

Smoking Cessation Classes

Structured programs designed to help individuals stop smoking, often including counseling and support.

Respiratory Function

The process and efficiency of the lungs in exchanging oxygen and carbon dioxide between the body and environment.