The nursing staff on a subacute, geriatric medicine unit of a hospital have noted that Mr. R, an 80-year-old patient with a diagnosis of Alzheimer's disease, tends to become agitated in the evening and early in the night
Which of the following nursing actions is most likely to effectively address Mr. R's sundowner syndrome? A) Ensure that Mr. R's room is kept as dark as possible during the times in question.
B) Limit Mr. R's fluid intake after 17:00 to prevent nocturia.
C) Minimize the amount of touch used in nursing care to avoid stimulating Mr. R.
D) Schedule physical therapy and exercise in the afternoon hours to help Mr. R expend energy.
D
Feedback:
Physical activity in the afternoon can help minimize sundowner syndrome in older adults. The environment should not be kept completely dark. Touch can be a useful tool, and fluids should never be withheld or limited in an effort to control behavior.
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