Shelda lives in a rural community where school funding is being threatened by state tax cuts. the local school district made major cuts last year, resulting in the need to close one area middle school and combine it with the elementary school. as a result of the changes to her school environment, shelda . will have many more opportunities for social interaction, which will improve her grade point average. b. is no more at risk than her urban neighbors who have smaller classes and more teachers. c. will likely be issued her own personal laptop. d. is at risk of a decline in her school performance.

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