A nurse is planning preventive care for a client who is at risk for pressure ulcers and requires bed rest. Which of the following actions should the nurse take?

A. Frequent repositioning helps relieve pressure on bony prominences (e.g., heels, sacrum, elbows) and improves circulation, reducing the risk of pressure ulcer formation. This is a cornerstone of pressure ulcer prevention for clients who are immobile or require prolonged bed rest. B. While elevating the head of the bed is sometimes necessary for respiratory or cardiac reasons, prolonged elevation increases pressure on the sacrum and buttocks, contributing to skin breakdown. Elevation should be limited and alternated with repositioning. C. Massaging bony prominences can actually damage tissue and microvasculature, increasing the risk of skin breakdown. Avoid vigorous massage over pressure-prone areas; instead, use gentle pressure relief techniques. D. Moisture from incontinence, sweat, or wound drainage increases the risk of skin maceration, making the skin more prone to breakdown. While moisturizing dry skin is important, excessive moisture over bony areas should be prevented with barrier creams or frequent cleansing.