Question

A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take? A. Raise the side rails on both sides of the client's bed during repositioning. B. Reposition the client without assistive devices. C. Discuss the client's preferences for determining a reposition schedule. D. Evaluate the client's ability to help with repositioning.

Answer 1

To safely and effectively reposition a stroke patient, the nurse should evaluate the patient's ability to help with repositioning, which is essential for determining the appropriate method and assistance level required.

Step-by-step explanation:

The nurse preparing to reposition a client who had a stroke should take certain actions for the safety and comfort of the client. The correct action from the provided options is D. Evaluate the client's ability to help with repositioning. It is essential for the nurse to assess the client's current physical abilities and the level of assistance they require. This evaluation helps in ensuring that the repositioning is carried out safely and effectively, reducing the risk of injury to both the client and the healthcare provider. Although raising side rails can be a safety measure, it should not be the primary action without an assessment. Discussing the client's preferences is also important, but the ability to help with repositioning is a priority that determines how the repositioning should be done. Using assistive devices is often recommended to aid in repositioning safely and would typically be considered after evaluating the patient's abilities.

Answer 2

To reposition a stroke patient, the nurse should evaluate the patient's ability to assist with the movement, taking into account their physical and cognitive status.

Step-by-step explanation:

When a nurse is preparing to reposition a client who had a stroke, the correct action to take is to evaluate the client's ability to help with repositioning. This involves assessing the client's physical and cognitive capabilities, as well as any residual effects of the stroke that may impact their ability to participate in repositioning. Raising side rails may be used as a safety precaution during repositioning but that is not the primary step. Using assistive devices may or may not be necessary depending on the individual's needs and they should be utilized if required to ensure safe repositioning. Lastly, discussing the client's preferences can be important for planning ongoing care, but the immediate consideration for a single reposition is primarily their physical capability.