A nurse is caring for a group of clients. For which of the following clients should the nurse implement seizure precautions?

Choice A reason:
Placing the client in a reclining chair is not a recommended intervention for managing wandering behavior. While it might seem like a way to keep the client stationary, it does not address the underlying issue of wandering and can lead to discomfort or pressure sores if the client remains in the chair for extended periods.

Choice B reason:
Installing sensor devices on outside doors is an effective intervention. These devices can alert caregivers when the client attempts to leave the house, thereby preventing wandering and potential falls. This measure enhances safety by providing immediate notification of the client's movements.

Choice C reason:
Positioning the mattress on the floor can help prevent injuries from falls. If the client rolls out of bed, the risk of injury is minimized because the fall distance is significantly reduced. This is a practical solution for clients who are prone to falling out of bed.

Choice D reason:
Encouraging physical activity prior to bedtime can be beneficial for overall health but may not be the best strategy for managing nighttime wandering. Physical activity should be balanced and not too close to bedtime, as it can sometimes lead to increased alertness rather than promoting sleep.

Choice E reason:
Putting locks at the top of doors is a useful safety measure. Clients with Alzheimer's disease may not notice or be able to reach locks placed higher up, which can prevent them from wandering outside unsupervised. This intervention helps ensure the client's safety by restricting access to potentially dangerous areas.

Choice A reason:
Writing a detailed daily activity schedule is not typically indicative of acute mania. Individuals with acute mania often have difficulty focusing and may start many projects but struggle to follow through. A detailed schedule suggests organization, which is not characteristic of mania.

Choice B reason:
Refusing to engage in conversation is not a common sign of acute mania. On the contrary, individuals experiencing mania are more likely to exhibit pressured speech, which is fast, excessive, and difficult to interrupt.

Choice C reason:
Isolating oneself from others is not a typical behavior observed in acute mania. Individuals with mania are more likely to seek out social interactions, although these may be inappropriate or excessive.

Choice D reason:
A lack of sleep is a common symptom of acute mania. Individuals experiencing mania may feel a decreased need for sleep, stay up for long periods, and still not feel tired. This can exacerbate other manic symptoms and is a key indicator of mania.