A confused older patient has been hospitalized for a cardiac problem that requires both antihypertensive and diuretic therapies. The nurse minimizes the patient's risk of disturbed sleep by

a. keeping the door shut so noise from the hallway is not disruptive.
b. organizing care to minimize the number of times the patient is awakened.
c. administering medications at least 4 hours before bedtime.
d. offering to toilet the patient whenever the nurse finds the patient awake during the night.


C
The diuretic is likely to cause the patient to urinate frequently during the night if not adminis-tered appropriately. Because the patient is confused, the door should be left open. Clustering cares is a good idea to promote sleep but is not the most important for this patient. Offering to assist the patient to the bathroom when awake is also a good idea, but it is preferable to decrease the number of times the patient is awake.

Nursing

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