A nurse is caring for an older adult client who is at risk for skin breakdown. Which of the following interventions should the nurse use to help maintain the integrity of the client's skin?

Choice A reason: Providing a diet high in protein helps maintain skin integrity by supporting tissue repair and regeneration. Adequate protein intake is crucial for preventing skin breakdown, especially in older adults who may have compromised nutritional status. Choice B reason: Repositioning the client every 3 hours is not frequent enough to effectively prevent pressure ulcers. The standard recommendation is to reposition at least every 2 hours to relieve pressure and reduce the risk of skin breakdown. Choice C reason: Massaging bony prominences is not recommended as it can cause tissue damage, particularly in individuals with fragile skin or at risk for pressure ulcers. Gentle repositioning and pressure relief are more appropriate interventions. Choice D reason: Applying cornstarch to keep the skin dry is not advisable as it can lead to clumping and friction, increasing the risk of skin irritation and breakdown. Maintaining proper hygiene and using appropriate skin protectants are better strategies for keeping the skin dry and healthy.