糖尿病患者表现为（）

A.P选择素增高

B.L选择素增高

C.E选择素增高

D.ICAM-1增高

E.P选择素降低

Following an earthquake, a client who was rescued from a collapsed building is seen in the emergency department. He has blunt trauma to the thorax and abdomen. Which nursing observation most suggests the client is bleeding（）

A. Prolonged partial thromboplastin time (PTT).

B. Recent history of warfarin (Coumadin) usage.

C. Diminished breath sounds.

D. Orthostatic hypotension.