Which interventions would the nurse plan to support the stabilization of a client's circadian rhythm?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Give medications on time.
2. Use environmental clues for awakening.
3. Support calming bedtime routines.
4. Assure quiet on the unit at night.
5. Offer warm milk or hot cocoa at night.
1,2,3,4
Rationale 1: Medications often work by stabilizing circadian rhythm. If medications are given at random times, a pattern of peak and trough cannot be established.
Rationale 2: Use of environmental clues such as light, morning noise, or music may help the client awaken at the appropriate time, thereby supporting a return to normal circadian rhythm.
Rationale 3: Calming bedtime routines such as reading or listening to calming music may help the client go to sleep.
Rationale 4: Institutions such as hospitals and inpatient units can be very noisy at night, which disturbs sleep.
Rationale 5: Stimulants such as the caffeine in cocoa should be avoided in the evening.
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