After a total abdominal hysterectomy, what early assessment change might indicate sepsis?

A temperature of 101.8°F (38.8°C) after a total abdominal hysterectomy is a significant finding that could indicate an early change related to sepsis. In the context of postoperative care, fever is often one of the earliest signs of infection, which can progress to sepsis if not identified and addressed promptly.

Following surgery, the body experiences physiological changes, and a mild fever can be a normal response to the stress of the procedure. However, even slight elevations above normal body temperature, particularly when they are above 100.4°F (38°C), can warrant further investigation to rule out infections such as wound infections, urinary tract infections, or even more systemic infections that could lead to sepsis.

Monitoring vital signs, including temperature, is crucial postoperatively since a marked increase can signify that the body is fighting off an infection. Recognizing a fever coupled with other systemic signs and symptoms can help in the early detection of sepsis, improving patient outcomes through timely intervention.

Other options indicate changes but may not be as direct of an early indicator for sepsis compared to an elevated temperature. For instance, a heart rate below 90 bpm would typically not suggest a problem, as it is within normal limits for an