36. A 73-year-old client is admitted for rehabilitation after a mild stroke. The client complains of not feeling rested, begins to nap during the day, and sleeps only 4 to 5 hours nightly. The most appropriate nursing action is to:
36. A 73-year-old client is admitted for rehabilitation after a mild stroke. The client complains of not feeling rested, begins to nap during the day, and sleeps only 4 to 5 hours nightly. The most appropriate nursing action is to:
. Assess the client's sleep-wake cycle to determine necessary interventions.
. Do nothing as the sleep pattern is associated with normal aging.
. Determine if the client takes a medication for sleep at bedtime and request an order.
. Relocate the client to a different room that is quieter.
Test-Taking Tip
First priority—Assess.
Content Area: Geriatrics; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Rest and Sleep
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Answer 1 is correct because these are strategies to promote better sleep. Answer 2 is incorrect because more information is needed to ensure there is not a pathological cause. Answer 3 is incorrect because more information is needed before an intervention is selected. Answer 4 is incorrect because this may be a solution but more information is needed.