A client diagnosed with AIDS is admitted to the medical unit with complaints of fatigue, a persistent dry cough, and dyspnea on exertion. Vital signs include BP 136/88, temperature 104°F (40°C), pulse 95, respirations 22. Which of the following actions by the nurse is BEST?
1. Administer a tepid sponge bath with the patient in semi-Fowler's position.
2. Limit oral intake to a maximum of 2,000 ml of fluid per day.
3. Encourage the patient to perform passive ROM four times a day.
4. Suction the patient every four hours to maintain a patent airway.