Which interventions does the nurse perform to promote normal rest and sleep patterns for a critically ill client? Select all that apply. A)Dimming the lights at night B)Increasing the level of continuous IV sedation during nighttime hours C)Leaving the television on for diversion at night D)Opening the window blinds/shades in the morning E)Scheduling interventions and activities during the day when possible F)Turning off equipment alarms in the client's room at night

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It is important to maintain the client's normal circadian rhythms in the intensive care unit (ICU). Interventions that help to maintain the normal sleep-wake cycle include dimming the lights at night, providing quiet and uninterrupted periods of sleep when possible, scheduling interventions and activities during the day, frequently reorienting the client as necessary, and opening the shades in the morning. Excessive stimuli and lack of sleep can predispose the client to delirium. (Option B) Continuous IV sedation, if indicated, should be given at the lowest dose adequate for pain management. (Option C) Unless the client is awake and chooses to have the television turned on, this extra stimulus is disruptive to sleep. (Option F) Turning the alarms off in the client's room would pose a risk to safety, as the nurse may not be alerted to a change in condition or equipment failure. If possible, alarm parameters should be adjusted according to the client's routine to prevent unnecessary awakening. Educational objective: To prevent disorientation and delirium in the ICU, it is important to develop a plan of care that includes maintaining the client's normal circadian rhythm.

Which Interventions Does the Nurse Perform to Promote Normal Rest