A nurse is providing teaching to a client who has gastritis. Which of the following instructions should the nurse include in the teaching?

A. Place locks at the tops of exterior doors: Clients with Alzheimer’s disease are at high risk for wandering. Installing locks out of the client’s line of sight, such as at the tops of doors, enhances safety by reducing the chance of unsupervised exit.
B. Wear clothing with zippers instead of buttons: While simplifying clothing is helpful, Velcro or elastic waistbands are typically easier for clients with cognitive decline than zippers, which can still be difficult to manage.
C. Encourage physical activity prior to bedtime: Physical activity should be scheduled earlier in the day. Stimulating activity near bedtime may worsen sleep disturbances or contribute to sundowning in clients with Alzheimer’s disease.
D. Replace the carpet with hardwood floors: Removing carpet can increase the risk of slipping and falling. Soft flooring like carpet may actually provide better traction and cushion in the event of a fall.

A. Carbamazepine: This medication is primarily used for long-term seizure control but is not effective in stopping an active status epilepticus episode due to its slower onset of action.
B. Lorazepam: Lorazepam is a benzodiazepine with rapid onset that is the first-line treatment to quickly stop seizures during status epilepticus, providing immediate central nervous system depression to control convulsions.
C. Clonazepam: Although clonazepam is a benzodiazepine used for seizure management, it is less commonly used in acute status epilepticus due to slower onset and availability of more effective alternatives like lorazepam.
D. Lamotrigine: Lamotrigine is an anticonvulsant used for maintenance therapy in seizure disorders, but it does not act quickly enough to manage status epilepticus emergencies.