Question

a nurse is providing care to a client confined to bed. to promote independence while the client is moving in bed and provide the client assistance in moving up in bed, which device would be appropriate?

bed trapeze
bed cradle
foot board
trochanter roll

Explanation:

Analyze the client's clinical needs

The client is confined to bed and needs to move up in bed. The goal is to promote independence while assisting with this movement.

Evaluate the options using assistive device concepts

Using the Positioning Assistive Devices knowledge point:

• Bed trapeze: A triangular metal bar suspended overhead. It allows the client to grasp the bar and use upper body strength to lift and move themselves up in bed, directly promoting independence.
• Bed cradle: A curved metal frame placed over the bed to keep heavy blankets off the client's feet/legs. It does not assist with movement.
• Foot board: A flat board placed at the foot of the bed to prevent footdrop by keeping feet dorsiflexed. It does not assist with moving up in bed.

Using the Trochanter Rolls knowledge point:

• Trochanter roll: A rolled towel or foam roll placed alongside the hips to prevent external rotation of the hips when the client is supine. It does not assist with active movement or moving up in bed.

Select the most appropriate device

The bed trapeze is the only device listed that allows the client to actively participate, use upper body strength, and independently assist in moving up in bed.

Answer:

• (A) bed trapeze (Correct answer)
• (B) bed cradle
• (C) foot board
• (D) trochanter roll