A patient complains of insomnia and daytime fatigue. What is the first action the nurse should take in addressing the patient's concerns?
a. Question the patient about the use of over-the-counter (OTC) sleep aids.
b. Suggest that the patient decrease intake of caffeine-containing beverages.
c. Advise the patient to get out of bed if unable to fall asleep in 10 to 20 minutes.
d. Recommend that the patient use any prescribed sleep aids for only 2 to 3 weeks.
ANS: A
The nurse's first action should be assessment of the patient for factors that may contribute to poor sleep quality or daytime fatigue such as the use of OTC medications. The other actions may be appropriate, but assessment is needed first to choose appropriate interventions to improve the patient's sleep.
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