A nurse is reinforcing teaching with a client who has a new ileostomy.
Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale

Leaving the television on in the client's room can cause confusion and agitation in clients with dementia, leading to an increased risk of falls.

Choice B rationale

Applying a motion sensor mat to the client's bed is an effective way to alert staff if the client attempts to get out of bed, thereby reducing the risk of falls.

Choice C rationale

Raising all four side rails can be considered a form of restraint and can increase the risk of injury if the client attempts to climb over them.

Choice D rationale

Moving the overbed table away from the bed removes a potential source of support for the client when they attempt to get up, increasing the risk of falls. .

Choice A rationale

Recent exposure to tuberculosis is the priority for the nurse to address because tuberculosis is a contagious and potentially serious infectious disease. Addressing this first helps prevent the spread of infection to other clients and healthcare staff.

Choice B rationale

While a history of generalized anxiety disorder is important, it is not the immediate priority compared to a contagious disease like tuberculosis. Anxiety can be managed with ongoing care and support.

Choice C rationale

Nocturia is a condition characterized by frequent urination at night and can indicate underlying health issues, but it is not an immediate priority compared to tuberculosis exposure.

Choice D rationale

Periodic migraine headaches can be debilitating and require management, but they do not pose an immediate risk to others like tuberculosis exposure does.