A Nurse Is Caring for a Postoperative Client Who Has

A nurse is caring for a postoperative client who has developed peritonitis. An assessment finding that would require immediate action would be

A) a decrease in blood pressure of more than 15 mm Hg.
B) an increase in urine output of more than 300 ml/day.
C) pulse deficit of more than 20 beats/minute.
D) weight gain of more than 5 pounds.

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