A nurse is preparing to transfer a client who weighs 136 kg (300 lb) from a bed to a stretcher with the aid of an assistive personnel (AP). Which of the following actions should the nurse take?

A. Move the client using a slider board: A slider board can assist with lateral transfers, but for a client weighing 136 kg (300 lb), it may not provide the safest method due to the increased risk of strain and injury to staff. A more advanced device is preferred. B. Use an air-assisted transfer device to move the client: An air-assisted transfer device is the safest choice for bariatric clients because it significantly reduces friction, making movement easier and safer for both the client and healthcare workers. It minimizes musculoskeletal injury risk during transfer. C. Raise the bed to 5 cm (2 in) above the level of the stretcher: The bed should be adjusted to the same height as the stretcher to allow a smooth transfer. Raising it higher can make the transfer unsafe and increase the risk of injury or difficulty sliding the client across. D. Position the head of the bed at 25° prior to the transfer: The head of the bed should be flat during lateral transfers to maintain spinal alignment and ease movement. Elevating the head complicates the process and increases the chance of shear or strain.