The patient is unable to move himself and needs to be pulled up in bed. For this repositioning to be done safely, the nurse must understand that
a. The procedure can be done by one person if the bed is in the flat position.
b. Side rails should be in the up position to prevent the patient from falling out.
c. The pillow should be placed under the patient's head and shoulders.
d. Assistive devices or additional nurses should be used.
ANS: D
This is not a one-person task. Helping a patient move up in bed without help from other coworkers or without the aid of an assistive device (e.g., friction-reducing pad) is not recommended and is not considered safe for the patient or the nurse. When pulling a patient up in bed, the bed should be flat or in a Trendelenburg position (when tolerated) to gain gravity assistance, and the side rails should be down. Remove the pillow from under head and shoulders and place it at the head of the bed to prevent striking the patient's head against the head of the bed.
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