The Nurse Identifies Assessment Findings for a Client with Preeclampsia

Multiple Choice

The nurse identifies assessment findings for a client with preeclampsia. Blood pressure is 158/100 mmHg; urinary output 50 mL/hour; crackles in the lungs on auscultation; urine protein 1+; 1+ edema hands, feet, ankles. On the next hourly assessment, which new assessment finding would indicate worsening of the condition?

A) Blood pressure 159/100 mmHg
B) Urinary output 40 mL/hour
C) Urine protein 2+
D) Lungs clear to auscultation