Which vital signs most likely indicate internal bleeding?

The combination of vital signs presented in the selected choice most strongly indicates the possibility of internal bleeding. In this scenario, a blood pressure reading of 102/60 mmHg reflects a potential drop in blood volume and is consistent with signs of shock, which can occur with internal bleeding. The pulse rate of 120 beats per minute is elevated, indicating tachycardia, which is a physiological response to combat low blood volume and maintain adequate perfusion to vital organs. Additionally, the description of the skin as pale, cool, and clammy reflects a sympathetic nervous system response due to the body diverting blood away from the skin to preserve blood flow to more crucial organs during a state of shock.

These vital signs together create a clinical picture of hypovolemic shock, which is often caused by internal bleeding. Just as important, they suggest severe compromise with possible hemorrhage. Understanding these indicators is crucial in assessing a patient who may be experiencing significant blood loss and requires timely intervention.