A client has insomnia.
Which of the following is not an appropriate client education for a client experiencing insomnia?

CHOICE A. It is important to identify yourself when interacting with a client with a visual impairment so that they know who they are speaking with.

CHOICE B. Ensuring adequate lighting can help the client to see better and make use of any remaining vision they may have [B].

CHOICE E. Providing discharge instructions in large print can make it easier for the client to read and understand the information

CHOICE C. Speaking louder is not necessary for clients with visual impairments unless they also have a hearing impairment

CHOICE D. Avoiding talking to other people in the room is not necessary and may make the client feel excluded from the conversation

The best intervention by the nurse to prevent further skin and tissue breakdown on a reddened area on a client’s right heel is to relieve pressure from the right heel1.

Heels are particularly vulnerable to skin breakdown and when patients lie supine, all of the pressure of their lower legs and feet rest on the heels1.

Preventing heel ulcers primarily involves the use of simple devices, like pillows and offloading devices, to protect delicate heels1.

Choice A is not correct because documenting the reddened area alone will not prevent further skin and tissue breakdown.

Choice B is not correct because asking the client how the area became reddened alone will not prevent further skin and tissue breakdown.

Choice C is not correct because assessing the client’s diet alone will not prevent further skin and tissue breakdown.