A nurse in a provider's office is caring for a client. Click to highlight the findings from the current visit that indicate an improvement in the client's condition. To deselect a finding, click on the finding again. Nurses' Notes Current visit: Client here for follow-up visit. Was seen 1 week ago for worsening manifestations of heart failure. +1 nonpitting edema noted to feet and ankles. Client reports shortness of air improved and only occurs with significant exertion. Also states has more energy and is sleeping better. Client does report episodes of nausea and decreased appetite. Also states has had occasional dizziness. Today's weight is 78.9 kg (174 lb).

+1 nonpitting edema noted to feet and ankles: The reduction from +3 pitting edema to +1 nonpitting edema indicates improved fluid status and decreased venous congestion, reflecting effective management of heart failure symptoms. Client reports shortness of air improved and only occurs with significant exertion: Dyspnea with minimal activity has improved to only occurring with significant exertion, suggesting enhanced cardiac output and better pulmonary perfusion. Client states has more energy: Increased energy demonstrates improved tissue perfusion and oxygen delivery, indicating stabilization of heart failure symptoms. Client states is sleeping better: Better sleep reflects decreased nocturnal dyspnea and improved overall cardiac function. Weight decreased from 82.1 kg (181 lb) to 78.9 kg (174 lb): Weight loss in a client with heart failure indicates effective diuresis, reduced fluid retention, and improved volume status.