An older man has Alzheimer 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 medication.
c. Teach the wife how to apply a vest re-straint during sleep.
d. Help the wife plan daily periods for nap-ping and activity.
A
Regular exercise can help increase the duration of sleep during the night. Adding a new medica-tion to the existing pharmacotherapy can increase adverse drug interactions and complicate the problem; the existing therapeutic regimen can be already contributing to the problem. Adminis-tering a hypnotic medication is the therapy of last resort and can be ineffective. The nurse avoids recommending the use of restraints; restraint use is associated with an increased incidence of in-jury and accidents. In addition, restraints can be an ineffective therapy and can contribute to hos-tility and combativeness. Excessive napping during the day may be contributing to the problem.
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