An older adult tells the nurse that he keeps waking up during the night. Which of the following statements made by the client prompts the nurse to plan as a nursing diagnosis disturbed sleep pattern?
1. "I take my Zoloft as soon as I get up in the morning.".
2. "I walk for half an hour after I eat breakfast.".
3. "I limit my coffee intake to one cup of regular in the morning.".
4. "I think the arthritis in my hips is getting worse.".
4. "I think the arthritis in my hips is getting worse.".
Rationale:
Physical discomfort or pain, especially from osteoarthritis, and focused in the hips, often disrupts the sleep of older persons. The client is taking his prescribed antidepressant medication Zoloft (sertaline hydrochloride) appropriately because it has a stimulant effect and should be taken in the morning. A short walk in the morning is an appropriate type and timed exercise. Limiting caffeine intake to one morning cup of coffee should have little interference with sleeping during the night.
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