A nurse is creating a plan of care for a child who is awake and responsive following an acute head injury. Which of the following interventions should the nurse include?

A. Place the child in a room with bright fluorescent lighting: Bright lighting can increase intracranial stimulation and discomfort. A calm environment is better for head injury recovery. B. Initiate seizure precautions for the child: Head injuries increase the risk of post-traumatic seizures. Precautions help ensure safety if a seizure occurs. C. Use the COMFORT scale to rate the child's pain: The COMFORT scale is typically used for unconscious or sedated patients, such as those in critical care. D. Suction the child's nares to determine the presence of fluid: Suctioning may introduce pathogens or increase ICP. Observation of drainage (e.g., for CSF) should be noninvasive.