34. An 80-year-old client complains of sleeping less and awakens several times during the night. The client takes acetaminophen at bedtime and does not drink caffeine. Which response by a nurse is most appropriate?
34. An 80-year-old client complains of sleeping less and awakens several times during the night. The client takes acetaminophen at bedtime and does not drink caffeine. Which response by a nurse is most appropriate?
. Tell the client to eliminate fluids after 6:00 p.m.
. Recommend that the client go to bed 1 hour earlier.
. Recommend a sleep study to diagnose sleep apnea.
. Tell the client that the sleeping pattern is a normal age-related change.
Test-Taking Tip
Recognize the normal changes of aging affecting the sleep-wake cycle.
Content Area: Geriatrics; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Health Promotion and Maintenance/Aging Process
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Answer 1 is incorrect because the problem is not due to urinary frequency. Answer 2 is incorrect because the action will not promote sleep. Answer 3 is incorrect because the complaint of waking up at night is not indicative of sleep apnea. The client with sleep apnea doesn't usually wake up at night. Answer 4 is correct because the older adult does experience changes in sleeping. It is important to rule out any pathological patterns.