During inspection of the precordium of an adult patient, the nurse notices the chest moving in a forceful manner along the sternal border. this finding most likely suggests:

A92-year-old man with a 45-year history of chronic obstructive pulmonary disease is intubated in the icu because of a bout of viral pneumonia that fails to improve after 72 hours of antibiotics. although the inspired fraction of oxygen is 100%, the patient's po2 remains at 57 mmhg. positive-end expiratory pressure (peep) is added to allow the inspired fraction of oxygen. twelve hours after the introduction of peep the patient suddenly become hypotensive. at the same time, his oxygen saturation drops from 92% to 61%. on physical examination, his bp is 80/50 mmhg and his pulse is 124/min. he has distended neck veins and distant heart sounds. which of the following would also most likely be seen on this patient's physical examination? - absence of breath sounds in the right hemithorax- high amplitude carotid artery upstroke- a pleural friction rub- pulsus alternans- splenomegaly

Which of the following statements is a blaming message ? a. “i think we made a mistake.” b. “you’ve messed up everything! ” c. “we can’t mess this up.” d. “i apologize for the error.”

In a search a driver needs to look in a of distances far away to near, as well as to the left, right and rear of the vehicle, making efficient use of both central and fringe vision. a) fast manner b) systematic manner c) slow manner d) aggressive