A patient with peritonitis develops a temperature of 103° F (39.4° C), is restless, has blood pressure of 85/45 and has a urinary output of 76 mL in 8 hours. The nurse should develop a plan of care related to which health problem?
1. hypovolemic shock
2. inflammation
3. third spacing
4. bowel dysfunction
Correct Answer: 1
The patient experiencing peritonitis may develop an abscess, which can lead to shock. The patient developing shock may present with oliguria, hypotension, fever, restlessness, confusion, and hypovolemia. The symptoms do not indicate inflammation, third spacing, or bowel dysfunction.
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