A 74-yeаr-оld client with а histоry оf type 2 diаbetes is admitted to the medical ICU with fever, tachycardia, and suspected sepsis from a urinary source. Initial management included: 30 mL/kg of IV lactated Ringer's completed 2 hours ago Blood cultures drawn before initiation of IV piperacillin-tazobactam Continuous cardiac monitoring and arterial line placement Two hours after the initial fluid bolus, the nurse notes the following changes: Which findings suggest the client is progressing from sepsis to septic shock? Select all that apply.