A Patient Is Admitted to the ICU for Observation of His

question 9

Multiple Choice

A patient is admitted to the ICU for observation of his grade II splenic laceration.Which of the following signs and symptoms would suggest that he has had a delayed rupture of his splenic capsule and is now in hemorrhagic shock?

• A) BP, 110/70 mm Hg; HR, 120 beats/min; Hct, 42 mg/dL; UO, 40 mL/hr; skin that is pink, warm, and dry with capillary refill of 3 seconds
• B) BP, 90/70 mm Hg; HR, 140 beats/min; Hct, 21 mg/dL; UO, 10 mL/hr; pale, cool, clammy skin; confused
• C) BP, 100/60 mm Hg; HR, 100 beats/min; Hct, 35 mg/dL; UO, 30 mL/hr; pale, cool, dry skin; alert and oriented
• D) BP, 110/60 mm Hg; HR, 118 beats/min; Hct, 38 mg/dL; UO, 60 mL/hr; flushed, warm, diaphoretic skin; agitated and confused

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Definitions:

Total Fertility Rate

An estimate of the average number of children a woman will have during her reproductive years, typically used as an indicator of population growth.

Refined Birth Rate

A statistical measure of the number of live births in a year, typically expressed per 1000 people in the population, adjusted for specific criteria or demographics.

Demographic Transition

The process by which a country moves from high birth and death rates to low birth and death rates through stages of development, often leading to a stable or declining population.

Industrialization

The development of industries in a country or region on a wide scale, often marked by technological innovation and economic growth.