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Question
A nurse is caring for an 80-year-old Alzheimer's patient who has begun to experience changes in sleep patterns, with increased agitation and confusion in the evenings. The patient has difficulty recognizing her surroundings and frequently wanders at night. Considering these symptoms, what is the most likely phenomenon the patient is experiencing, and how should the nurse manage it? Sundowning; enhance environmental lighting and establish a consistent evening routine. Depression; refer the patient for psychiatric evaluation and possible medication. Delirium; perform an immediate assessment for infection or other medical causes. End-stage dementia; focus on comfort measures and prepare the family for end-of-life care.
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A good source is the introduction of the article titled, "Effects of a Brief Mindfulness Meditation Intervention on Student Stress and Heart Rate Variability".
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The nurse assesses the patient's urine and finds increased reddish colored urine. In response to this finding which actions is the nurse's priority.
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