A nurse is caring for an older adult client who has an indwelling urinary catheter. Which of the following manifestations should indicate to the nurse that the client is developing a urinary tract infection?

A. Offer the client hot chocolate or tea prior to rest periods. While warm beverages can be comforting and help some people relax, hot chocolate and many teas contain caffeine, which can interfere with sleep. Even decaffeinated options might not be the best choice close to bedtime due to the fluid content, which could increase the need for nighttime urination, disrupting sleep.
B. Encourage the client to ambulate in the hallway before resting. Light physical activity, such as ambulating, can help promote relaxation and reduce muscle tension, which might aid sleep. However, it is essential to consider the client's postoperative status and ensure that ambulation is safe and appropriate for their condition. Overexertion close to bedtime might have the opposite effect and increase alertness.
C. Cluster routine care activities to allow rest periods without interruptions. This is a highly recommended intervention. By clustering care activities, the nurse can minimize disturbances during rest periods, allowing the client to have longer, uninterrupted sleep. This is crucial in a hospital setting where frequent interruptions can significantly impact the quality of sleep.
D. Encourage the client to watch television to relax. While watching television can be relaxing for some, it can also be stimulating and potentially interfere with sleep due to the light and noise. Blue light emitted from screens can suppress melatonin production, making it harder to fall asleep. Therefore, this is generally not recommended as a sleep aid.

A. "Why don't I get the chaplain to come and pray with you?" This response might make the client feel dismissed.
B. "I'll come back at a time when I can spend more time with you." This does not address the client's immediate need for spiritual support.
C. "Maybe it would be better if we read a passage from the Bible." Assuming the client wants to read the Bible may not be appropriate.
D. "Do you have a preference about how we pray together?" This response shows respect for the client's spiritual needs and preferences.