A nurse is planning care for a client who had a traumatic brain injury and is waking up restlessly from a coma. Which of the following interventions should the nurse include in the plan?

Choice A reason: Administering opioids is not the primary intervention for a restless client waking from a coma. Opioids may sedate but can depress respiration and mask neurological changes, complicating assessment of brain injury recovery. Reducing stimuli is safer to calm agitation without compromising neurological monitoring. Choice B reason: Reducing stimuli is critical for a client with a traumatic brain injury waking restlessly from a coma. Excessive noise, light, or activity can exacerbate agitation and increase intracranial pressure. A calm environment minimizes neurological stress, supports recovery, and prevents complications like seizures or further brain injury. Choice C reason: Applying restraints is not ideal, as they can increase agitation and injury risk in a restless brain injury client. Restraints may elevate intracranial pressure by causing stress or struggle. Non-restrictive measures, like reducing stimuli, are preferred to manage restlessness safely and effectively. Choice D reason: Administering antihypertensives is not indicated unless hypertension is present. Restlessness in a brain injury client is likely due to neurological irritation, not blood pressure. Reducing stimuli addresses the cause directly, while antihypertensives may lower cerebral perfusion pressure, potentially worsening brain recovery.