A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply)

Rationale: A. Allow extra time for the client to perform tasks: Clients with vision loss may need additional time to orient themselves, perform activities of daily living, and navigate safely. Allowing extra time supports independence and reduces the risk of injury or frustration. B. Touch the client gently to announce presence: Gently touching the client on the arm or shoulder before speaking helps prevent startling them and provides a clear cue that someone is nearby. This enhances safety and effective communication for clients with impaired vision. C. Keep objects in the client's room in the same place: Consistently organizing personal items and equipment in fixed locations helps clients with vision loss locate items safely and reduces the risk of tripping or injury. This is an essential component of creating a safe environment. D. Ensure there is high-wattage lighting in the client's room: Excessive or harsh lighting can cause glare, which may worsen visual difficulties for clients with certain types of vision loss. Appropriate lighting should be sufficient but not overly bright, emphasizing contrast rather than intensity. E. Approach the client from the side: Approaching from the side may startle a client with vision loss. It is safer and more effective to approach from the front while identifying oneself to maintain clear communication and orientation.