The assessment scale results help the nurse to recognize Mr. Matthew is at risk for impaired skin integrity because of decreased nutrition and mobility. The nurse develops a plan of care with the UAP. Which nursing action should be included in the plan?
A. Reposition Mr. Matthew in bed to a 90-degree side-lying position every 2 hours.
B. Reposition Mr. Matthew in bed from supine to a 60-degree side-lying position every 2 hours.
C. Remind Mrs. Matthew's that her husband should be repositioned every 2 hours.
D. Massage Mr. Matthew's reddened, bony prominences with lotion every 2 hours.