The nurse is assessing a client with a diagnosis of mitral stenosis. Which piece of assessment data indicates that the disease is worsening?

Complaints of dyspnea while completing activities of daily living

Complaints of epigastric pain after eating a large meal

Jugular vein distention and +3 peripheral edema

Increase in systolic blood pressure 10 mmHg above client's norm

Gunshot wound to the leg.