The Nurse Identifies a Nursing Diagnosis of Risk for Impaired

The nurse identifies a nursing diagnosis of risk for impaired skin integrity for a patient with cirrhosis who has ascites and 4+ pitting edema of the feet and legs. An appropriate nursing intervention for this problem is to

A) restrict dietary protein intake.
B) arrange for a pressure-relieving mattress.
C) perform passive range of motion QID.
D) turn the patient every 4 hours.