A nurse is observing an assistive personnel changing the linens on the bed of a client who is immobilized. Which of the following actions by the AP indicates the need for intervention by the nurse?

A. Raises the bed to waist level
B. Rolls the client to one side of the bed
C. Lowers the side rails on the side of the bed closest to the AP
D. Reaches over the bed to straighten the fitted sheet

The nurse should intervene when the assistive personnel reaches over the bed to straighten the fitted sheet as this violates proper body mechanics. They should instead raise the bed to waist level, roll the client to one side of the bed, and lower the side rails on the side of the bed closest to the AP. Thus, the correct answer is D) reaches over the bed to straighten the fitted sheet.

Explanation:

The action that indicates the need for intervention by the nurse is D) reaches over the bed to straighten the fitted sheet. This action violates proper body mechanics and can lead to strain or injury for the assistive personnel. It is important for the AP to maintain a safe and ergonomic position while performing tasks.

Proper body mechanics involve using the appropriate body positioning, leverage, and movement to protect oneself from strain and injury. When changing linens on a bed, the AP should:

Raise the bed to waist level to prevent excessive bending or stooping.

Roll the client to one side of the bed to remove the old linens and place the new ones. Lower the side rails on the side of the bed closest to the AP to provide easier access to the client and prevent reaching over.