The nurse is caring for an adolescent with an appendectomy who is reporting difficulty falling asleep. Which intervention will be most appropriate?
a. Close the door to decrease noise from unit activities.
b. Adjust temperature in the patient's room to 21° C (70° F).
c. Ensure that the night-light in the patient's room is working.
d. Encourage the discontinuation of a soda and chocolate nightly snack.
ANS: D
Discontinuing the soda and chocolate nightly snack will be most beneficial for this patient since it has two factors that will cause difficulty falling asleep. Coffee, tea, colas, and chocolate act as stimulants, causing a person to stay awake or to awaken throughout the night. Personal preference influences the temperature of the room, as well as the lighting of the room. Noise can be a factor in the unit and can awaken the patient, but caffeine can make it difficult to fall asleep.
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