The nurse continues to care for the client who is at 30 weeks of gestation. Exhibits The nurse is evaluating the client's response to interventions. Click to highlight the findings that indicate the client's condition has improved. To deselect a finding, click on the finding again. Vital Signs 1800: Temperature 38.3° C (101° F) Heart rate 58/min Respiratory rate 18/min Blood pressure 146/96 mm Hg Oxygen saturation 95% on 2 L nasal cannula Nurses' Notes 1800: DTR 2+ bilaterally Urine output 40 ml in the last hour

Rationale for Correct Choices: DTR 2+ bilaterally: The deep tendon reflexes improved from 1+ earlier (indicating possible magnesium toxicity) to 2+, which falls within the normal range of 1+ to 3+. This suggests better neuromuscular function and reduced magnesium side effects. Urine output 40 mL/hr: Increased from a low 20 mL/hr at 1400 to 40 mL/hr at 1800, above the normal minimum urine output (>30 mL/hr). This reflects improved renal perfusion and fluid balance, crucial for preventing complications in preeclampsia. Oxygen saturation 95% on 2 L nasal cannula: Oxygen saturation stabilized at 95%, which is the lower limit of normal (95–100%). Previously it was 92% on room air, indicating improved oxygenation with supplemental oxygen support. Respiratory rate 18/min: Improved from shallow respirations at 14/min to 18/min, which falls within the normal adult range (12–20/min). This indicates better respiratory effort and gas exchange. Blood pressure 146/96 mm Hg: Decreased from a hypertensive crisis level of 170/112 mm Hg at 1400 to 146/96 mm Hg, showing effective blood pressure management though still above the ideal (<120/80 mm Hg). This reduction lowers the risk of severe complications. Rationale for Incorrect Choices: Temperature 38.3&deg; C (101&deg; F): Elevated above the normal range (36.5–37.5&deg; C), this fever suggests possible infection or inflammatory response and does not represent clinical improvement. It requires further evaluation and treatment. Heart rate 58/min: Decreased from 80/min to 58/min, falling below the normal range of 60–100/min. This bradycardia may be a sign of magnesium toxicity or cardiovascular suppression and requires close monitoring.