The Nurse Is Caring for a Client Who Has Increased

The nurse is caring for a client who has increased intracranial pressure and is disoriented and anxious. Which of the following nursing actions should be included in the plan of care?

A) Encourage family members to remain at the bedside.
B) Apply soft restraints to protect the client from injury.
C) Keep the room well lighted to improve client orientation.
D) Minimize contact with the client to decrease sensory input.