A client with preeclampsia is assessed with the following: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on dipstick; and edema of the hands, ankles, and feet
Which new assessment finding indicates the client's condition is getting worse? 1. Reflexes 2+
2. Platelet count 150,000
3. Blood pressure 158/104
4. Urinary output 20 mL/hour
4
Explanation:
1. The reflexes are normal at 2+.
2. The platelet count is normal, though it is at the lower end.
3. The blood pressure has not had a significant rise.
4. The decrease in urine output is an indication of decrease in glomerular filtration, which indicates a loss of renal perfusion. The assessment finding most abnormal and life threatening is the urine output change.
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