Which intervention is most appropriate for the nursing diagnosis 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's side rails up at all times.

Impaired Skin Integrity

A disruption in the epidermis and/or dermis, leading to increased risk of infection, fluid loss, and decreased tissue function.

Shearing Forces

Forces or stresses that cause layers of material to slide past each other in opposite directions.

Skin Integrity

The state of skin being whole, undamaged, and intact, with an emphasis on preventing injury and promoting healing.