What action should a nurse take during client repositioning?

Raising the side rails on both sides of the client's bed during repositioning is an important safety measure that protects the client from potential falls and provides stability as they are being adjusted. This action ensures that the client remains secure in bed while the nurse is repositioning them. It also serves to remind other staff members and caregivers that the client is in the process of being moved, which adds an extra layer of safety.

In addition, having the side rails up helps to maintain the patient’s orientation and security during the movement, especially for patients who might be confused or at risk of falling. It also encourages communication and awareness among healthcare providers, contributing to a safer environment.

While lowering the side rails completely might seem convenient, it increases risk for the client, especially those who are at higher risk for falls. Asking the client to assist without guidance can lead to unsafe practices, especially for clients who may lack the ability to safely follow instructions due to age, condition, or medications. Turning off alarms to minimize noise can compromise safety by preventing timely responses to potential emergencies.