During the morning assessment, the nurse notices the client’…

During the morning assessment, the nurse notices the client’s heels are reddened and non-blanchable and formulates a nursing diagnosis of Skin Integrity, impaired. Which of the following independent nursing interventions is most important in preventing further skin breakdown?  

The nurse is caring for a client with Nutrition: less than b…

The nurse is caring for a client with Nutrition: less than body requirements, imbalanced. The expected outcome is “The client will consume greater than 60% of all meals.” Upon evaluation, the client consumed 25% of breakfast and 30% of lunch. The best action by the nurse is to