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

Rationale: A. Request a prescription for a nightly sedative: Routine use of sedatives in clients with dementia is not recommended due to the increased risk of falls, confusion, and respiratory depression. Nonpharmacological interventions and environmental modifications are preferred strategies for promoting safety and sleep without compromising cognitive function. B. Place the client's bed at the lowest height: Keeping the bed in its lowest position helps reduce the risk of injury from falls, which is a significant safety concern for clients with dementia who may be disoriented or attempt to get out of bed unassisted. This simple environmental modification supports fall prevention while maintaining independence and mobility. C. Turn off all lights in the client's room at night: Complete darkness may increase confusion or agitation in clients with dementia, especially those prone to sundowning. Providing low-level night lighting helps the client orient themselves, reduces the risk of falls, and supports safer nighttime mobility. D. Assist the client with toileting at least once every 4 hr: Regular toileting schedules are important, but assistance every 4 hours may not meet the client’s individual needs. Dementia care typically involves prompting or assisting the client to use the toilet based on observed cues, urgency, or a more frequent schedule, rather than a rigid 4-hour interval.