A Nurse Is Caring for a Client Who Has a Diagnosis

A nurse is caring for a client who has a diagnosis of Impaired skin integrity,related to immobility,secondary to neurologic dysfunction.Which should the nurse identify as an observation intervention?

A) Turn and reposition client every 2 hours.
B) Cushion bony prominences with soft foam while in bed.
C) Provide ongoing assessment for skin breakdown every shift.
D) Apply lotion to dry skin twice daily.