A nurse is reinforcing discharge teaching with the family of a client who has Alzheimer's disease. The client has wandering behavior and the family is concerned about safety at home. Which of the following instructions should the nurse include in the teaching?

Alzheimer’s disease is a progressive neurodegenerative condition that leads to memory loss, impaired judgment, and disorientation. Clients commonly develop wandering behavior, which places them at high risk for injury, getting lost, or exposure to unsafe environments. Home safety modifications are a key component of discharge planning and caregiver education. The goal is to reduce environmental risks while allowing the client to remain in a safe and familiar setting. Rationale: A. Installing complex locks at the top of doors helps prevent unsupervised exit and wandering, which is a major safety concern in Alzheimer’s disease. Placing locks out of the client’s immediate visual and physical reach reduces the likelihood of elopement. This intervention enhances home safety while allowing caregivers to monitor movement more effectively. B. Using a hospital bed with side rails is not recommended for clients with dementia-related wandering. Side rails may increase the risk of injury if the client attempts to climb over them or becomes trapped. Additionally, they can create a false sense of security and are not effective in preventing wandering behaviors. C. Limiting physical activity during the day is not appropriate because regular activity helps reduce restlessness and improves sleep patterns in clients with dementia. Restricting movement may increase agitation, worsen behavioral symptoms, and contribute to muscle deconditioning. Safe, supervised activity is generally encouraged instead. D. Wearing a removable medical alert bracelet is a helpful safety measure for identification if the client becomes lost, but it does not prevent wandering behavior. It aids in reunification, but it is not the most effective primary intervention for preventing unsafe exit from the home environment compared to physical environmental controls like secure door locks.