A nurse is caring for a client in the outpatient cardiologist's office. The nurse is reviewing the client's assessment findings. Which of the following findings indicates that the client's condition has improved or has not changed since their two-week follow-up appointment? Click to specify the client findings that have improved or have not changed since their last visit.

Rationale: Dyspnea: Improved. The client reports less shortness of breath and only mild exertional dyspnea compared to previously worsening dyspnea. Capillary Refill: No change. Capillary refill times remain the same in both upper and lower extremities. Lung sounds: Improved. Previously there were crackles bilaterally; now lungs are clear. Bi-lateral lower extremity pulses: No change. Pulses improved from +1 previously to +2, but if considering “today vs last visit” (two weeks ago), they remain +2, so essentially no change since last visit. Edema: Improved. Edema resolved; previously +1 pitting in lower extremities, now absent.