Which Intervention Is Most Appropriate for the Nursing Diagnostic Statement,Impaired

Multiple Choice

Which intervention is most appropriate for the nursing diagnostic statement,Impaired skin integrity related to shearing forces?

A) Administer pain medication every 4 hours as needed.
B) Perform the ordered dressing change twice daily.
C) Do not document the wound appearance in the chart.
D) Keep the bed side rails up at all times.