A nurse is planning care for a client who has dementia. Which of the following interventions should the nurse plan to include?

A. Request a prescription for a nightly sedative.: Sedatives are not a first-line intervention for clients with dementia because they can increase confusion, fall risk, and adverse effects. Nonpharmacologic safety measures are preferred whenever possible. B. Place the client's bed at the lowest height.: Keeping the bed at its lowest position reduces the risk of injury if the client attempts to get out of bed unassisted. This simple safety measure helps prevent falls, which are a major concern for clients with dementia. C. Turn off all lights in the client's room at night.: Completely dark environments can increase disorientation and agitation in clients with dementia. Low-level lighting or nightlights is preferable to maintain orientation and safety. D. Assist the client with toileting at least once every 4 hr.: While regular toileting is important, a 4-hour interval may not meet the client’s individual needs. Toileting schedules should be based on the client’s habits and signs of incontinence to prevent accidents.