The nurse is caring for an older adult client who is confused and has a high risk for falls. The client is incontinent of urine and frequently attempts to get out of bed unassisted to use the restroom. Which nursing interventions are appropriate when caring for this client? Select all that apply.

B Initiating an hourly rounding schedule D Moving client to a room close to the nurses' station E Raising all side rails of the client's bed C Inserting an indwelling urinary catheter A Ensuring bed alarm remains activated