When changing the gown of a patient with left-sided paralysis, what is the first step the nurse should take?

When changing the gown of a patient with left-sided paralysis, the first step is to remove the sleeve from the stronger arm. This approach facilitates a smoother and more comfortable gown change for the patient. By starting with the stronger arm, less resistance is created because the patient can assist with this action, thereby promoting independence and reducing any feelings of frustration that may stem from not being able to use the weaker arm effectively.

This method is consistent with the principles of providing patient-centered care, aligning with the aim to support autonomy and dignity during personal care procedures. It sets the stage for then safely dressing the impaired side with minimal discomfort and maintaining the patient's sense of security throughout the process.

The other choices present alternatives that may not support the patient’s comfort or ease during the dressing change, such as rolling into a prone position or assuming a side-lying position, which could complicate the procedure. Therefore, initiating the gown change by addressing the stronger arm is the most effective and respectful way to assist the patient.