Which action should the nurse take first?
As a nurse helps a client ambulate, the client says, "I had trouble sleeping last night."
A. Recommending warm milk or a warm shower at bedtime B. Gathering more information about the client s sleep problem C. Determining whether the client is worried about something D. Finding out whether the client is taking medication that may impede sleep
Two approaches are utilized in patients in hospitals who are having trouble sleeping. One is organizational. Sleep can be interrupted by clinicians taking care of the patient. Sleep could also be disrupted because of the patient experiencing either pain or nightmares, and both can be unpleasant. Vital sign checks can be done every couple of hours, which can be a detriment to the patient who is struggling to remain asleep.
Postoperative complications can also interfere with a patient's sleep. Even the machines beeping has the potential to disrupt sleep. It is essential to gather this information from clients to determine what is the problem concerning their inability to sleep.
Gathering more information about the client\ s sleep problem-rationale: the nurse first should determine what the client means by trouble sleeping. the nurse lacks sufficient information to recommend warm milk or a warm shower or to make inferences about the cause of the sleep problem, such as worries or medication use.client needs category: physiological integrityclient needs subcategory: basic care and comfortcognitive level: applicationreference: weber, j., and kelley, j. health assessment in nursing, 3rd ed. philadelphia: lippincott williams & wilkins, 2007, p. 32.