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:

Gravitational Equilibrium

Maintenance of balance when the head and body are motionless.

Gravitational Equilibrium

A state in which the gravitational forces within a star are perfectly balanced by the outward push of pressure from fusion reactions in the star's core.

Utricle

The utricle is a part of the inner ear involved in detecting linear movements and the position of the head in relation to gravity, aiding in balance.

Saccule

Saclike cavity in the vestibule of the vertebrate inner ear; contains sensory receptors for gravitational equilibrium.