A patient's physical mobility is impaired because of paralysis of both lower extremities. Which is the best method for the nurse to use to place the patient in semi-Fowler's position?
a. Help the patient push up in bed by bend-ing his or her knees.
b. Raise the head of the bed to 45 degrees and pull the patient to it.
c. Roll the patient to one side using pillows to support his or her back.
d. Pull the patient to the head of the bed (HOB) using a drawsheet and then raise the HOB.
D
With the assistance of another staff member and using a drawsheet, the nurse bends the patient's knees to reposition the legs, pulls the patient to the HOB, elevates the HOB to 45 degrees, and removes wrinkles from the drawsheet. The patient is unable to push up because of paralysis. Elevating the HOB first increases the force needed to move the patient up in the bed and the risk of injury. Rolling the patient to the side achieves Sims' or lateral position or assists with logrol-ling; rolling the patient may be necessary to place the drawsheet under him or her before moving the patient up in bed.
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