The nursing manager of the pediatric intensive care unit wants to provide patients with improved sleep and rest.Which intervention would have the greatest impact on promoting rest in this environment?

Question

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Research shows that over half of all awakenings and arousals in intensive care unit patients are due to noise.To have the greatest impact on sleep and rest,the manager should work with staff to reduce the noise level on the unit,especially at night,so that normal sleep-wake cycles can be maintained as much as possible.Clustering care is a good idea to allow for some periods of uninterrupted rest and to decrease sensory overload from all sources,but may not always be practical and,even when done,will not have the same impact as overall noise reduction.A 2-hour "quiet time" may not provide all children with adequate rest and may be impossible to enforce.Turning off alarms is a dangerous practice and should not be done.

The Nursing Manager of the Pediatric Intensive Care Unit Wants