A nurse is caring for a client in the emergency department. Click to highlight the findings that indicate that the client's condition is improving. To deselect a finding, click on the finding again. 1400: Client admitted to the medical-surgical unit at 1200 today. Alert and orientated x4, heart and lung sounds clear. Client urinating 100 mL/hour. Client is tolerating soft diet and oral fluids. Bowel sounds are hyperactive in all 4 quadrants. Bilateral pedal pulses 2+, Blood glucose 310 mg/dL (74 to 106 mg/dL) 1400: Temperature 36.8° C (98.2° F) Pulse rate 84/min Respiratory rate 16/min Blood pressure 106/76 mm Hg Oxygen saturation 96% on room air

Rationale for Correct Choices: Client is tolerating soft diet and oral fluids: The client initially had nausea and decreased appetite. Tolerating oral intake indicates improved gastrointestinal function, hydration status, and resolution of DKA-related symptoms. Bilateral pedal pulses 2+: Improved from 1+ at admission, indicating better peripheral perfusion and resolution of hypovolemia following fluid resuscitation. Blood glucose 310 mg/dL: It decreased from 468 mg/dL at admission. While still above normal, this downward trend shows effective insulin therapy and metabolic improvement. Pulse rate 84/min: Improved from 110/min, reflecting improved hemodynamic status after fluid resuscitation and correction of dehydration. Rationale for Incorrect Choices: Alert and orientated x4: The client’s level of consciousness remained unchanged from 0900. While stable, it does not indicate an improvement because it was already normal. Heart and lung sounds clear: These remained unchanged from admission and reflect baseline status rather than improvement. Bowel sounds are hyperactive in all 4 quadrants: No change from admission; hyperactive bowel sounds are not a marker of improvement. Temperature 36.8° C (98.2° F): Remained normal and unchanged since admission.