The client is diagnosed with a closed head injury and is in a coma. The nurse writes the client problem as “high risk for immobility complications.” Which intervention would be included in the plan of...

The client is diagnosed with a closed head injury and is in a coma. The nurse writes the client problem as “high risk for immobility complications.” Which intervention would be included in the plan of care?

1. Position the client with the head of the bed elevated at intervals.

2. Perform active range-of-motion exercises every four (4) hours.

3. Turn the client every shift and massage bony prominences.

4. Explain all procedures to the client before performing them.