A patient is admitted to a rehabilitation facility following stroke. The patient has right-sided paralysis and is unable to speak. The patient will be receiving physical therapy and speech therapy. Which level of preventive care is the patient receiving?

A) Obtain a bedside commode for the client's use: While a bedside commode may be helpful for reducing the need for the client to walk to the bathroom, it may not fully address the client's concern about falling. The most immediate solution to improve safety during the night would be ensuring that the environment is adequately lit and easy to navigate. The bedside commode could be considered, but a nightlight would be the first step.

B) Leave a nightlight on in the client's room: This is the best action to take in this situation. A nightlight will improve visibility and help the client navigate safely to the bathroom at night. Falls are more common in low-light environments, and a nightlight can provide the needed illumination to reduce the risk of tripping or losing balance during the night.

C) Limit the client's fluid intake in the evening: While limiting fluid intake may reduce the frequency of nighttime trips to the bathroom, it is not an ideal or holistic solution. Reducing fluid intake can also lead to dehydration, which can cause other health issues. The focus should be on creating a safe environment for the client to move about, rather than restricting essential fluids.

D) Put the side rails up and tell the client to call the nurse before voiding: Raising the side rails can increase the risk of entrapment and restrict the client's ability to move freely if they need to get out of bed. Telling the client to call the nurse may also delay their ability to respond to their needs promptly, especially in the middle of the night. Instead, ensuring a safer environment and encouraging independence, with appropriate safety measures like a nightlight, is more effective.

A) Tanning beds are much safer than lying in the sun: This statement is inaccurate. Tanning beds can actually be more harmful than sun exposure, as they expose the skin to concentrated ultraviolet (UV) radiation, which increases the risk of skin cancer, premature aging, and other skin damage. Health promotion teaching should focus on the dangers of tanning and emphasize safe sun practices, such as using sunscreen and avoiding tanning beds.

B) "Share piercing needles only with close friends you trust": This statement is dangerous and misleading. Sharing needles for piercings or tattoos, regardless of trust, can transmit bloodborne infections such as HIV, hepatitis B, and hepatitis C. The nurse should emphasize the importance of using sterilized, single-use needles and ensuring proper hygiene to prevent infections.

C) Your need for sleep will increase during periods of growth: This statement is accurate. Adolescents experience significant physical and cognitive growth, which increases their need for sleep. The nurse should encourage adolescents to prioritize adequate sleep, as it is essential for physical development, emotional well-being, and overall health.

D) "Limit your caloric intake to avoid becoming overweight": While maintaining a balanced diet is important, the focus should not be solely on limiting caloric intake. Adolescents are in a period of rapid growth and development, and their nutritional needs are higher. Health promotion should emphasize eating a balanced diet with appropriate portions of nutrients rather than focusing on restricting calories.