The nurse and a nursing assistive personnel (NAP) are going to move an older adult client up in bed

Question

Before moving the client, the nurse explains to the NAP that they will need to lift the client off the bed with an assistive device instead of using the drawsheet. The most important reason for using the assistive device is:
1. To avoid frightening the client
2. To avoid shearing the client's skin
3. To avoid getting "written up" for not following lift procedures
4. Because the nurse is tired

Answer 1

ANS: 2
The greater the surface area of the object that is moved, the greater the friction. A larger object produces greater resistance to movement. To decrease surface area and reduce friction when cli-ents are unable to assist with moving up in bed, nurses use an ergonomic assistive device, such as a full body sling. It mechanically lifts the client off the surface of the bed, thereby preventing friction, tearing, or shearing of the client's delicate skin. The client may also be frightened by the use of the equipment. It is important to explain what will be going on and what the client can expect to experience when using any piece. Lift policies are put in place to protect both clients and staff; however, the nurse should not be as concerned with being "written up" as with pro-tecting himself or herself, the NAP, and the client from harm. The most important reason for us-ing the lift equipment is to protect the client and staff from harm.