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학습 자료 둘러보기 →A new spike in temperature to 102.8°F (39.3°C) with chills and increasing abdominal pain in a patient with acute cholecystitis is a red flag for complicated disease (e.g., gangrenous cholecystitis, perforation) and developing sepsis.
The priority nursing action is immediate notification of the provider and preparation for emergent intervention. This presentation takes precedence over managing expected symptoms like nausea or stable RUQ pain.
Do not delay reporting for scheduled surgery. Systemic signs of infection with worsening peritoneal pain suggest the gallbladder may be necrotic or perforated, requiring urgent, not routine, surgical management.
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