Read the following diagnosis statement and then identify which is the primary site and which is the secondary site: Breast cancer with mets to colon

Your patient is a 24-year-old man who was struck just below the left scapula with a 3-inch-diameter metal pipe. He is awake but having difficulty breathing. His pulse is 112 at the radial artery, and his respiratory rate is 28 per minute and shallow. His breath sounds are present bilaterally but diminished on the left. He has a blood pressure of 108/68. The patient is coughing up some bloody

sputum. He has no other complaints, and a rapid trauma survey reveals no additional life-threatening injuries. Which of the following represents the best sequence of interventions for this patient? A) Begin transport immediately, positive pressure ventilation, a large-bore IV of isotonic solution to maintain a systolic blood pressure of 120 mmHg or greater. B) High-concentration oxygen by nonrebreather mask, begin transport, a 16-gauge IV at a keep-open rate. C) Positive-pressure ventilation, a large-bore IV of normal saline solution at a keep-open rate, transport. D) High-concentration oxygen by nonrebreather mask, begin transport, two 14-gauge IVs of 50 percent dextrose solution wide open.

A patient is receiving proportional assist ventilation (PAV). During the course of being mechanically ventilated, the patient develops a leak around the cuff of the endotracheal tube. What should the therapist expect to occur in this situation?

A. PAV will deliver more flow and pressure to the patient. B. The patient will exhibit a decreased demand for flow and pressure. C. The high pressure alarm will repeatedly sound. D. The patient's airway resistance will increase and lung elastance will decrease.