PN~CD~1801-1900and the process of elimination to answer the question. Eliminate option 4 because of theword “injection” in the question. From the remaining options, recalling that the issuewith this medication is to avoid staining the skin will direct you to option 1. Review the procedure for the administration of an iron injection if you had difficulty with thisquestion.Level of Cognitive Ability: ApplicationClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/ImplementationContent Area: Fundamental SkillsReference: Perry, A., & Potter, P. (2004).
Clinical nursing skills & techniques
(5th ed.).St. Louis: Mosby, p. 528.1803. A nurse is assisting in developing a plan of care for the client with acquiredimmunodeficiency syndrome (AIDS) who is experiencing night fever and night sweats.Which nursing intervention would the nurse suggest including in the plan of care tomanage this symptom?1. Keep the call bell within reach for the client2. Administer a sedative at bedtime3. Administer an antipyretic at bedtime4. Provide a back rub and comfort measures before bedtimeAnswer: 3Rationale: For clients with AIDS who experience night fever and night sweats, it isuseful to offer the client an antipyretic prior to bedtime. It is also helpful to keep achange of bed linens and nightclothes nearby for use. The pillow should have a plasticcover, and a towel may be placed over the pillowcase if there is profuse diaphoresis. Theclient should have liquids at the bedside to drink. Options 1, 2, and 4 are importantinterventions but they are unrelated to the issue of fever and night sweats.Test-Taking Strategy: Focus on the issue of the question—night fever and night sweats.Options 1, 2, and 4 are helpful and important interventions but do not address the issue of the question. Since night fever and sweats occur serially, it is most helpful to give theantipyretic before sleep as a prophylactic measure. Review nursing measures for theclient with AIDS if you had difficulty with this question.Level of Cognitive Ability: ApplicationClient Needs: Physiological IntegrityIntegrated Process: Nursing Process/PlanningContent Area: Adult Health/ImmuneReference: Black, J., & Hawks, J. (2005).
Medical-surgical nursing: Clinical management for positive outcomes
(7th ed.). Philadelphia: W.B. Saunders, p. 2395.1804. A nurse is assisting in preparing a plan of care for the client with acquiredimmunodeficiency syndrome (AIDS) who has nausea. Which dietary measure would thenurse include in the plan?1. Dairy products with each snack and meal2. Red meat daily3. Addition of spices to food to make the taste more palatable4. Foods that are at a cool temperature