Final answer:
The nurse's steps for repositioning a client involve preparation, careful movement with support, and ensuring the client's stability and comfort. The nurse should use proper body mechanics and continue to evaluate the client's condition throughout the process.
Step-by-step explanation:
To safely reposition a client from lying to sitting on the edge of the bed, a nurse must follow a series of steps to ensure both the client's and their own safety. The nurse should begin by explaining the procedure to the client, obtaining consent, and ensuring privacy. This can be followed by the actual steps:
- Ensure the client's bed is at a safe working height.
- Lower the side rail on the side you are working if it is raised.
- Place the client on their back with their arms crossed over their chest if able.
- Bend the client's knees and help them to turn onto their side facing you.
- Move the client's legs over the edge of the bed while supporting their upper body and assisting them to pivot into a sitting position.
- Stabilize the client while they sit on the edge of the bed with their feet flat on the floor, if possible. Provide support until they are steady.
Throughout this process, the nurse should use proper body mechanics to prevent injury to themselves and the client. It's also important to continually assess the client's tolerance and provide necessary modifications based on their condition. After the client is repositioned, the nurse should ensure the client is comfortable, re-position pillows if necessary, and return the bed to a safe level. The nurse should then wash their hands and document the care provided.