Following a Craniotomy with a Craniectomy and Left Anterior Fossa

Following a craniotomy with a craniectomy and left anterior fossa incision,the patient has a nursing diagnosis of ineffective protection related to decreased level of consciousness and weakness.What does an appropriate nursing intervention for the patient include?

A) Assessing for changes in motor ability daily
B) Performing range-of-motion exercises every 4 hours
C) Turning and repositioning the patient side to side every 4 hours
D) Eliminating extraneous noise to prevent sensory overload