Difficulty: Medium
Average Score: 73%
Simulated
A client with pneumonia has a temperature of 102.6┬░F (39.2┬░C), is diaphoretic, and has a productive cough. The nurse should include which of the following measures in the plan of care?
Correct answer
C
Rationale
Diaphoresis from fever causes damp linens, which can lead to discomfort and skin breakdown; frequent linen changes are needed. Position changes aid lung expansion but are less urgent. Suctioning is invasive and not routinely required. Bedpan use depends on mobility, not fever.