Question

The nurse plans to assess a client for inflammation. Which questions should the nurse include when interviewing this client?

1) Are you experiencing any pain?
2) Did you receive the annual influenza vaccination?
3) How much exercise do you get each day?
4) Do you take vitamins?
5) What surgeries have you had?

Answer 1

When assessing for inflammation, the nurse should ask questions directed towards identifying the cardinal signs of inflammation and understanding the impact on the patient's daily life. Pain is a direct indicator, while fever and impaired daily activities provide context to the severity of the condition. The patient's medical history also plays a role in assessing inflammation.

Step-by-step explanation:

Assessment of Inflammation

When assessing a client for inflammation, the nurse should ask questions that help identify the cardinal signs of inflammation. These signs include erythema (redness), edema (swelling), heat, pain, and altered function. The nurse should definitely ask, "Are you experiencing any pain?" as pain is a direct indicator of inflammation. Moreover, questions about recent surgeries might be relevant as surgery can trigger an inflammatory response. The client's medical history, including any chronic conditions such as asthma or diabetes, as mentioned in the case of John, who is 65 years old, should also be considered.

Understanding the purposes and triggers of inflammation, as well as its signs and symptoms, helps in the evaluation and management of the condition. Inflammation is a protective response with the purposes of eliminating the initial cause of cell injury, such as pathogens or damaged cells, and to initiate tissue repair. Triggers include infections, tissue injury, and autoimmune reactions.

The caution must be taken when interpreting symptoms as similar symptoms can indicate various diseases, such as the flu, pneumonia, or even tuberculosis, as in the case of Barbara. Therefore, evaluating other symptoms like fever, congestion, and aches can provide additional clues as to whether the condition is due to inflammation or an underlying infection.

Fever is another systemic sign that the nurse should inquire about. Questions about general health, ability to perform daily activities, and exercise habits can provide context to the overall impact of potential inflammatory conditions on the client's life.