Question

During a home‚ visit, the nurse is concerned that a client is experiencing an acute inflammation. What did the nurse assess in this‚ client?

1) Skin area reddened
2) Pain level 7 on a scale from 1 to 10
3) Skin area hot to touch
4) Skin area swollen
5) Pink and red wound tissue

Answer 1

The nurse assessed the client for signs of inflammation including redness, heat, and swelling.

Step-by-step explanation:

The nurse assessed several signs of inflammation in the client during the home visit. These include:

1. Skin area reddened: Redness is a common sign of inflammation and indicates increased blood flow to the area.
2. Skin area hot to touch: Heat is a result of increased blood flow to the affected area.
3. Skin area swollen: Swelling occurs as a result of fluid accumulation in the tissue.

These signs are indicative of an acute inflammatory response and can help the nurse determine the severity of the client's condition.