A Nurse Is Working with a Client Who Has a Diagnosis

A nurse is working with a client who has a diagnosis of "Impaired skin integrity, related to immobility, secondary to neurologic dysfunction". Of the following listed, which would be considered an observation intervention?

A) Provide ongoing assessment for skin breakdown during every shift.
B) Cushion bony prominences with soft foam while in bed.
C) Turn and reposition client every two hours.
D) Apply lotion to dry skin twice daily.