Ans - OPTION D - increase fluids and reposition the pstient
Here the patient has HYPOTENSION with PAIN which is disturbing patient sleep and also continues after giving aoioid analgesia.
Going from option to option
Option B - Doesn't make any sense of providing a glass of wine
Option c - sedative is not a choice for pain , sedstive are preferred when there is anxiety causing disturbance in sleep.
Option A - Encouraging controlled sleep will not help here as slep disturbsnce is due to pain
OPTION D - as patient is in hypotension, first is correction of hypotension by give iv fluids and repositioning the patient. This will help opioids to act better
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