The Nurse Identifies the Following Assessment Findings on a Client

question 3

Multiple Choice

The nurse identifies the following assessment findings on a client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 11 on dipstick; and edema of the hands, ankles, and feet. On the next hourly assessment, which new assessment finding would be an indication of worsening of the preeclampsia?

• A) Blood pressure 158/104
• B) Urinary output 20 mL/hour
• C) Reflexes 21
• D) Platelet count 150,000

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