A confused older adult client is having trouble sleeping at night and is sometimes found wandering in the hallway. Which nursing intervention should the nurse implement first?

A. Administer a PRN sedative prescription should not be the first intervention. Non-pharmacological measures, such as promoting relaxation, should be attempted before resorting to medications. B. Leave the door to the client's room open slightly can help with orientation but does not directly address the client's need for relaxation or sleep. C. Provide a back rub at bedtime is a non-invasive, calming intervention that can help the client relax and promote sleep. It is appropriate to try this first before escalating to other measures. D. Apply wrist restraints to prevent wandering is a last resort and should only be used when all other interventions have failed and the client poses a risk to themselves or others. Restraints are not indicated in this scenario without further justification.