What should a nurse include in the care plan for a bedbound client to protect skin integrity?

• A. Collaborate with dietitian to ensure adequate protein intake.
• B. Keep head of bed elevated to 45 degrees.
• C. Massage the bony prominences.
• D. Rub the skin dry after cleaning.

Answer: (A)

In creating a care plan for a bedbound client, ensuring adequate protein intake is essential for maintaining skin integrity. Protein is a crucial nutrient for tissue repair and regeneration, particularly for individuals who are immobile and at risk of pressure injuries. Bedbound clients have limited mobility, which can lead to skin breakdown due to prolonged pressure on specific areas of the body. By collaborating with a dietitian, the nurse can develop a nutrition plan that emphasizes adequate protein intake, which helps strengthen the skin and promotes healing if any skin issues arise. This focus on nutrition is a vital component of holistic care, addressing one of the key factors in preventing skin complications in vulnerable patients.