The nurse is making rounds and observes a client who is unconscious (see figure). The nursing assistant has just turned the client from lying on her back. Before raising the side rail, the nurse...

The nurse is making rounds and observes a client who is unconscious (see figure). The nursing assistant has just turned the client from lying on her back. Before raising the side rail, the nurse should:

1. Elevate the head of the bed to 30 degrees.

2. Ask the nursing assistant to add a pillow under the right arm.

3. Inspect the skin at pressure points from the back-lying position.

4. Help the nursing assistant move the client closer to the head of the bed.