A nurse is caring for a client with loss of proprioception. He uses a bed with side rails. What measure should the nurse implement to prevent discomfort and support independence for the client when using a bed with side rails?
A) Keep only one side rail of the bed up.
B) Set the bed 3 feet above the ground.
C) Place a chair to support the client when climbing down.
D) Move side rails when client wants to move off the bed.
A
Feedback:
When a client with loss of proprioception uses a bed with side rails, only one side rail of the bed should be up. This will assist the client in moving in and out of the bed. The bed must be placed at the lowest position possible to prevent the client from falling and for easy movement. Thus, it should not be placed 3 feet above the ground. No supports, such as chairs, should be provided for the client to climb up or down from the bed. This increases the chance of injury due to a fall. Having both the side rails up and moving one down from when the client wants to step off the bed may confuse the elderly client and prevent his or her movement out of bed.
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