21.. A 78-yeаr-оld mаle with а histоry оf diabetes has confusion and a temperature of 104 degree F. There is a wound on his right heel with purulent drainage. After 3 liters of normal saline, the lactic acid level is 4.2, blood pressure 84/40 mm Hg, heart rate110, respiratory rate 42 and shallow, CO 8 L/min, and PAWP 4 mm/Hg. Which condition does the nurse anticipate the client experiencing?
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