Turn the client at least every two hours and look for skin breakdown

Allow the client to sleep 8–10 hours without interruption each night to promote rest

Offer appetizing fluids at least every two hours during the day to promote hydration

Straight catheterize the client to prevent bladder distention and maintain a regular bowel program to prevent impaction

The nurse is taking care of a quadriplegic young man who suffers from a C2-C3 fracture after an auto accident 3 months prior. He has a tracheotomy, is ventilator-dependent, and has been discharged to home with skilled home nursing care. The nurse knows that this client is at risk for autonomic dysreflexia. Which of the following measures should this nurse take to keep the client comfortable, manage his elimination needs, and prevent common causes of autonomic dysreflexia?