A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?

A. Evaluate the client's ability to help with repositioning: Assessing the client’s strength, coordination, and cognitive status is essential to ensure safety and determine the level of assistance required. This reduces the risk of injury to both the client and the nurse during movement. B. Discuss the client's preferences for determining a repositioning schedule: While respecting the client’s preferences is important, repositioning must follow clinical guidelines (e.g., every 2 hours) to prevent complications like pressure injuries, regardless of patient preference. C. Reposition the client without the use of assistive devices: Stroke patients often have limited mobility and muscle weakness. Assistive devices such as slide sheets or lifts are necessary to protect the client's safety and prevent strain or injury to caregivers. D. Raise the side rails on both sides of the client's bed during resting: Raising both side rails may be considered a restraint and can increase the risk of injury if the client attempts to climb over them. Use of side rails should be based on facility policy and individual client needs.