A nurse on a medical-surgical unit is planning care for a client who has dementia and a history of wandering. Which of the following actions should the nurse plan to implement?

A. Use a bed alarm: Bed alarms provide a safe method to alert staff when a client at risk for wandering attempts to leave the bed. This intervention promotes client safety without restricting freedom of movement, making it appropriate for dementia care. B. Move client to a double room: Placing the client in a double room may increase confusion and agitation due to environmental overstimulation. It does not directly prevent wandering and could compromise safety. C. Use chemical restraints at bedtime: Chemical restraints should be avoided unless absolutely necessary for safety and prescribed by a provider. They pose significant risks, including sedation, falls, and further cognitive decline, and are not a first-line intervention. D. Encourage participation in activities that provide excessive stimulation: Excessive stimulation can increase agitation and the likelihood of wandering in clients with dementia. Activities should be calming, structured, and tailored to the client’s abilities to promote engagement without increasing risk.