The Nurse Has Completed the Braden Risk Assessment Scale on a Client

The nurse has completed the Braden Risk Assessment Scale on a client who has been diagnosed with a pelvic fracture and has not been able to get out of bed for the last 6 days.This morning the client's score is 10,so the nurse will institute which measures that will help prevent further skin injury? Select all that apply.

A) Bathe the client every day.
B) Use tepid water when bathing the client.
C) Position the client to allow the heels to hang over the bed.
D) Elevate the client's head 45 degrees.
E) Increase the humidity in the client's room.