A client who had orthopedic surgery three days ago verbalizes difficulty in sleeping. Which initial intervention is best for the practical nurse (PN) to implement?

Repositioning the client helps alleviate any discomfort or pressure points that may be interfering with their ability to find a comfortable sleeping position. Providing a back rub can promote relaxation and help the client feel more comfortable. It is important to address non-pharmacological interventions first before considering medication options. In this case, repositioning and providing a back rub are non-invasive, non-pharmacological interventions that can be effective in promoting sleep. B. Offering a cup of hot chocolate at bedtime may not address the underlying cause of the client's difficulty in sleeping and may not be the most appropriate intervention at this time. C. Similarly, administering a prescribed sleep medication should only be considered after non-pharmacological interventions have been attempted and if deemed necessary by the healthcare provider. D. Administering an as-needed (PRN) prescription for pain may be appropriate if pain is contributing to the client's difficulty in sleeping. However, repositioning and providing a back rub can be the initial interventions to address discomfort and pain before considering additional pain medication.