Frick this stupid site i does`t help anybody all i want is to finish my work but this stupid dumb site won`t let me get two answers i`m done with this sight it makes me so angry this site deserves to be shutdown because it is so dumb and a waste of time and effort plus there are better sites out there this site would get a zero stars from me and my company seriously i`m done with this site my kid just wants help when i`m busy at the office and come home to find him very mad and annoyed so thanks dumb site i hate you guys so much ❗☢☣ and i`m going to tell all my friends to avoid this site

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