The nurse is caring for a client who is experiencing inflammation. Which symptoms would the nurse expect to find upon assessment? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1. Itching
2. Redness
3. Pain
4. Swelling
5. Hyperglycemia
Correct Answer: 2, 3, 4
Rationale 1: Itching is incorrect because it is not a sign of inflammation. Signs of inflammation include swelling, pain, warmth, and redness of the affected area.
Rationale 2: Signs of inflammation include swelling, pain, warmth, and redness of the affected area.
Rationale 3: Signs of inflammation include swelling, pain, warmth, and redness of the affected area.
Rationale 4: Signs of inflammation include swelling, pain, warmth, and redness of the affected area.
Rationale 5: Hyperglycemia is incorrect because this is not a symptom of inflammation. Signs of inflammation include swelling, pain, warmth, and redness of the affected area.
Global Rationale: Signs of inflammation include swelling, pain, warmth, and redness of the affected area. Itching is incorrect because it is not a sign of inflammation. Hyperglycemia is incorrect because this is not a symptom of inflammation.
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