Pressure injuries can occur to the skin and underlying tissues due to pressure, shear or friction. Which of the following can reduce the incidence of pressure injuries in hospitalized clients? (Select All that Apply.)

A. Inspect the sacrum for blanching: While inspecting for blanching is important for early detection of pressure injuries, it does not directly prevent them. Prevention involves proactive measures like turning and positioning. B. Frequent turning and positioning: Regular repositioning helps relieve pressure on vulnerable areas and prevents the formation of pressure injuries, especially in immobile patients. C. Optimizing nutrition: Proper nutrition, including adequate protein and calorie intake, helps maintain skin integrity and supports wound healing, reducing the risk of pressure injuries. D. Frequent skin assessments: Regular skin checks help identify early signs of pressure injuries such as erythema, warmth, or localized pain allow for early intervention to prevent worsening. E. Maintaining the head of the bed at a 45-degree angle: Keeping the head of the bed elevated too high can increase pressure on the sacrum and promote shear forces. A lower angle (30 degrees or less) is often recommended to reduce pressure.