A Client Has Been in the Intensive Care Unit for a Week

A client has been in the intensive care unit for a week receiving various procedures throughout the day and night. Currently the client, though physiologically stable, is irritable and paranoid and complains of vivid dreams when dozing off to sleep. Which are the best actions for the nurse to take at this time? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.

A) Check the client's oxygen status.
B) Request a prescription for a sleep hypnotic.
C) Assess the client's vital signs.
D) Turn down the lights at night and reduce noise to a minimum.
E) Schedule all tests and procedures before 9 p.m. or after 7 a.m.