A nurse is caring for a client who has diarrhea and is receiving intermittent enteral feedings. Which of the following actions should the nurse take?

A. Touch the client gently to announce presence: Gently touching the client’s arm or shoulder can help orient them to your presence and is a considerate way to communicate, especially when they have vision loss.

B. Ensure there is high-wattage lighting in the client's room: While good lighting is important, high-wattage lighting can create glare, which may be uncomfortable or disorienting for clients with vision loss. Instead, softer, diffused lighting is often more effective.

C. Keep objects in the client's room in the same place: Maintaining a consistent layout in the client’s environment helps them navigate safely and independently. It minimizes confusion and reduces the risk of accidents.

D. Approach the client from the side: Approaching from the front is typically better for clients with vision loss, as it allows them to see you (if they have some vision) and helps them feel less startled.

E. Allow extra time for the client to perform tasks: Providing extra time respects the client's pace and fosters independence. It acknowledges the challenges they may face due to vision loss, allowing them to complete tasks without feeling rushed.

A) "I will use an enema to manage my constipation.": This statement is concerning because enemas can cause trauma to the rectal mucosa, which may lead to bleeding in a client with thrombocytopenia. Therefore, this action is not advisable and indicates a lack of understanding of safe practices.

B) "I will remove my shoes when I'm inside my house.": While removing shoes can help maintain cleanliness, it does not directly relate to managing thrombocytopenia or preventing bleeding. This statement does not reflect an understanding of the specific precautions needed for a client with low platelet counts.

C) "I will wipe my nose instead of blowing it.": This statement demonstrates an understanding of the need to minimize trauma to the nasal passages. Blowing the nose can increase the risk of bleeding in individuals with thrombocytopenia, so wiping is a safer alternative.

D) "I will floss between my teeth every time I brush.": Flossing can be harmful for a person with thrombocytopenia, as it may cause gum bleeding. Clients are often advised to avoid flossing to reduce the risk of bleeding, indicating that this statement reflects a misunderstanding of appropriate oral care practices for their condition.