A nurse is caring for an adolescent who presents to the emergency department. Exhibits The nurse reassesses the adolescent at 1930. For each assessment finding click to specify if the finding indicates that the adolescent's condition has improved or has not changed.

Heart rate: Decreased from 110/min to 92/min, indicating improved cardiac function and response to medications (digoxin, furosemide, enalapril). Dyspnea: Adolescent is sitting upright, reports dyspnea only with activity, showing improved breathing comfort. Oxygen saturation: Increased from 94% on room air to 97% on 2 L/min O₂, indicating improved oxygenation. Oral intake: Ate a portion of dinner tray after not eating for 3 days, suggesting improved appetite and energy. Lung sounds: Mild wheezing noted at 1930 vs more pronounced wheezing at 1500, indicating some improvement in airway status. Respiratory rate: Decreased from 26/min to 20/min, reflecting reduced work of breathing. Blood pressure: Decreased from 143/92 mm Hg to 129/72 mm Hg, showing improved hemodynamic status and response to antihypertensive therapy.