A client is admitted during the acute phase of a stroke. The nurse observes that the client is restless and unable to follow instructions. Which instruction(s) should the nurse provide the unlicensed assistive personnel (UAP) who is assisting with the care of the client? Select all that apply.

A. Minimize verbal interaction with the client: Minimizing verbal interaction can increase confusion and anxiety for a stroke client who may already struggle with understanding; clear, simple communication is more therapeutic during the acute phase. B. Keep the room brightly lit while providing care: Excessive lighting can contribute to agitation, restlessness, and sensory overload in clients experiencing neurologic impairment, worsening their symptoms rather than calming them. C. Monitor for change in speech: Monitoring for changes in speech is essential because sudden alterations may indicate worsening neurological status, such as increased intracranial pressure or extension of the stroke. D. Report any change in level of consciousness: A change in level of consciousness is a critical sign of neurological deterioration and must be reported immediately to ensure prompt intervention and prevention of serious complications. E. Avoid dropping side rails or abruptly closing the door: Sudden loud noises can startle or agitate the client, increasing restlessness and confusion, so maintaining a calm, quiet environment is important for neurologic stability.