An Older Patient with an Infected Stage IV Pressure Ulcer

An older patient with an infected stage IV pressure ulcer is lethargic. What additional findings should the nurse expect to assess in this stage of septic shock?

A) warm, flushed skin
B) urine output 10 mL/hr
C) blood pressure 88/54 mmHg
D) heart rate 118 beats per minute
E) respiratory rate 28 per minute and shallow