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 urinating 100 mL/hour: Adequate urine output indicates improved renal perfusion and effective fluid resuscitation. In DKA, polyuria can lead to dehydration, so normalization of urine output reflects stabilization of fluid balance. • Bilateral pedal pulses 2+: Stronger peripheral pulses suggest improved circulatory volume and perfusion after initial IV fluid resuscitation, indicating that hypovolemia is resolving. • Pulse rate 84/min: The decrease from 110/min to 84/min reflects improved hemodynamic status as intravascular volume is restored and dehydration resolves, reducing compensatory tachycardia. • Blood pressure 106/76 mm Hg: An increase from 96/65 mm Hg indicates improved intravascular volume and perfusion, reflecting a positive response to fluid therapy. • Blood glucose 310 mg/Dl: Decrease from 468 mg/dL indicates partial correction of hyperglycemia, showing that insulin therapy and fluid replacement are effectively improving glycemic control. Rationale for Incorrect Findings • Temperature 36.8° C (98.2° F): Temperature remained stable and within normal range; while not worsening, it does not specifically reflect improvement in DKA status. • Bowel sounds hyperactive in all 4 quadrants: Hyperactive bowel sounds were present initially and remain unchanged; this is not a direct indicator of DKA improvement.