A patient diagnosed with HIV/AIDS has developed pneumonia and is bedbound. Which nursing interventions should be planned? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

Question

1. Maintain fluid intake of 3 liters daily unless contraindicated.
2. Suction the oral cavity, but avoid tracheal suctioning.
3. Elevate the head of the patient's bed at least 30 degrees.
4. Turn the patient every 2 hours.
5. Provide for periods of uninterrupted rest.

Answer 1

1,3,4,5
Rationale 1: Fluid intake helps to thin secretions.
Rationale 2: Suctioning tracheal secretions on an as-needed basis will help improve gas exchange. Suctioning should not be avoided.
Rationale 3: Elevating the head of the bed helps facilitate breathing.
Rationale 4: Frequent turning helps to prevent stasis of pulmonary secretions and protect skin integrity.
Rationale 5: Rest periods help to prevent excessive fatigue, which impairs ability to breathe.