Which is the first step when making an occupied bed for a client who does not need assistance to turn?

• A. Lower head of bed before moving client
• B. Client is covered while linens are changed, with bath blanket
• C. Loosens top linen from end of bed
• D. Raises side rails on side to which client will move and client moves towards raised side rail

Answer: (A)

Lowering the head of the bed before moving the client sets up a safer, more controlled starting position for repositioning. A flat bed reduces the risk of friction and shearing on the skin as you adjust the linens and helps you maintain proper body mechanics, protecting your back and making the turn easier for the client. Once the bed is flat, you can keep the client covered with a bath blanket to preserve privacy and warmth, and you can begin loosening the top linen from the end to start changing the linens. Elevating the head of the bed first would make the turn more awkward and increase the risk of slipping or discomfort, so starting with a flat position is the best approach.