An older man has Alzheimer's disease, and his wife says he is up and wandering around the house at night. Which intervention should the nurse implement to increase the man's duration of sleep?
a. Instruct the wife to increase his daily physical activity.
b. Collaborate with the health care provider to administer a hypnotic.
c. Teach the wife how to apply a vest restraint during sleep.
d. Help the wife plan daily periods for napping and activity.
A
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A Correct. Regular exercise can help to increase the duration of sleep during the night.
B Incorrect. Adding a new medication to the existing pharmacotherapy can in-crease adverse drug interactions and complicate this problem, because the exist-ing therapeutic regimen can be contributing to the problem already. Adminis-tering a hypnotic is the therapy of last resort and can be ineffective therapy.
C Incorrect. The nurse avoids recommending the use of restraints because restraint use is associated with an increased incidence of injury and accidents. In addi-tion, restraints can be ineffective therapy and can contribute to hostility and combativeness.
D Incorrect. Excessive napping during the day may be contributing to the problem.
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