Neville has been power lifting for most of his life, but his joints are starting to deteriorate. his doctor has ordered him to stop power lifting, and to exercise only at a low intensity level. to prepare for his new lifestyle, neville should make the following changes to his wellness plan:

a. cease all exercise as the doctor ordered.
b. continue to power lift as it is more important to be happy.
c. stop power lifting and continue to exercise at an easier pace.
d. train harder as it is his last chance in life to exercise aggressively.

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