Following abdominal surgery, a patient becomes flushed and distressed. On assessment, the nurse notes that the patient's temperature is 102°F, heart rate is 102/bpm, and urinary output for the last two hours has been reduced, at 25 mL/hour. The nurse should consider these to be clinical manifestations of which of the following conditions?

The Progressive Care Certified Nurse (PCCN) exam is administered by the American Association of Critical-Care Nurses (AACN), which is the largest specialty nursing organization in the world. The PCCN examination tests applicants' knowledge of caring for acutely ill adult patients.

PCCN is a specialty certification for nurses who provide direct care to acutely ill adult patients regardless of their physical location. Nurses interested in this certification may work in areas such as intermediate care, direct observation, stepdown, telemetry, transitional care or emergency departments.