The nurse assesses a client being treated for Herpes zoster (shingles). Which assessment(s) should the nurse include when evaluating the effectiveness of treatment? Select all that apply.

A. Heart sounds: Assessing heart sounds is important for general health monitoring, but it is not directly related to the effectiveness of herpes zoster treatment. Shingles primarily affects the skin and nerves, not cardiac function. B. Pain scale: Shingles often causes severe neuropathic pain, so monitoring pain levels helps determine if antiviral therapy and analgesics are effective. Pain reduction is a key marker of successful treatment. C. Bowel sounds: Bowel function is not typically affected by herpes zoster, unless complications from medications occur. It is not a standard measure of treatment effectiveness for shingles. D. Functional ability: Severe shingles pain can limit mobility and self-care activities. Assessing functional ability helps evaluate whether symptom management is improving quality of life and daily functioning. E. Skin integrity: Shingles causes a painful vesicular rash that can progress to ulceration or secondary infection. Monitoring healing of skin lesions and prevention of complications directly reflects treatment effectiveness.