List key strategies for turning and repositioning to prevent pressure ulcers.

• A. Reposition at least every 2 hours; use a structured turning schedule; use pressure-relieving devices; inspect skin at contact points; use log-roll technique; avoid dragging the patient.
• B. Reposition once a day; avoid turning.
• C. Only reposition when pain occurs.
• D. Use only bed elevations.

Answer: (A)

Preventing pressure ulcers during turning and repositioning hinges on consistently relieving pressure, minimizing shear, and actively monitoring the skin. Repositioning at least every 2 hours, guided by a structured turning schedule, ensures that no area—especially common sites like the sacrum, heels, and elbows—remains under continuous pressure. Using pressure-relieving devices such as specialized mattresses, overlays, and cushions helps distribute weight more evenly and reduces the load on vulnerable spots. Inspecting the skin at contact points each time you turn or reposition catches early signs of breakdown, allowing prompt interventions. The log-roll technique keeps the spine aligned and minimizes shear forces on the skin and underlying tissues, while avoiding dragging the patient prevents friction injuries. Together, these elements create a consistent, tissue-protective approach to repositioning.

Other options fall short because they miss essential components—too infrequent turning, no use of devices, or neglecting skin assessment and safe moving techniques—leaving patients at higher risk for developing ulcers.