A nurse is reinforcing teaching with the caregiver of a client who has Alzheimer's disease. The caregiver reports that the client awakens at night and wanders. Which of the following strategies should the nurse suggest?

A. Place a lock at the top of doors leading outside: Installing locks or other safety measures at exit points helps prevent the client from leaving the home unsupervised, reducing the risk of injury or getting lost during nighttime wandering. Environmental modifications are a safe and effective strategy for managing wandering behaviors in Alzheimer’s disease. B. Encourage the client to nap during the day: While regulating sleep-wake cycles is important, encouraging daytime naps may worsen nighttime wakefulness and wandering. Promoting activity and engagement during the day is generally more effective for improving nighttime sleep patterns. C. Administer an antianxiety medication before bedtime: Sedative or antianxiety medications can pose significant risks in older adults with Alzheimer’s disease, including increased fall risk, confusion, and paradoxical agitation. Nonpharmacologic interventions are preferred as first-line strategies. D. Use light restraints while the client is in bed: Physical restraints are generally unsafe and can increase agitation, risk of injury, and psychological distress. Restraints are not recommended for managing wandering and should only be considered as a last resort under strict protocols.