A 36-year-old man with lymphoma presents with signs of impending septic shock 9 days after chemotherapy. The nurse could expect which of the following to be present?
A. Flushing, decreased oxygen saturation, mild hypotension
B. Low-grade fever, chills, tachycardia
C. Elevated temperature, oliguria, hypotension
D. High-grade fever, normal blood pressure, increased respirations
Answer: B
Explanation: Nine days after chemotherapy, one would expect the client to be immunocompromised. The clinical signs of shock reflect changes in cardiac function, vascular resistance, cellular metabolism, and capillary permeability. Low-grade fever, tachycardia, and flushing may be early signs of shock. The client with impending signs of septic shock may not have decreased oxygen saturation levels. Oliguria and hypotension are late signs of shock. Urine output can be initially normal or increased.
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