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A 45 - year - old female is in the ICU 8 days post - appendectomy with significantly decreased urine output decreased platelet count , and difficulty breathing . Vital signs are as follows : Temperature 38.6 ' C ( 101.5 ' F ) HR * 97 / m * il; RR * 22 / m * in BP 80/50 mmHg Which of the following should the RT expect ?
a. Severe sepsis
b. Fluid overload
c. Atelectasis
d. Pulmonary embolism

Answer :

The correct condition that the RT should expect in the scenario is severe sepsis, which is in line with the symptoms of hypotension, decreased urine output, difficulty breathing, and thrombocytopenia (option a).

The correct answer is severe sepsis, which is associated with organ dysfunction, hypoperfusion, or hypotension.

Sepsis can lead to shock, as indicated by the low blood pressure and may result in decreased urine output due to acute kidney injury, difficulty in breathing due to possible acute respiratory distress syndrome (ARDS), and a decreased platelet count as part of disseminated intravascular coagulation (DIC), which often accompanies sepsis.

Additionally, the presence of fever is consistent with an ongoing infection.

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