Which of the following may indicate a problem during patient transfer?

Shortness of breath or a change in vital signs during patient transfer is a significant indicator of a potential problem. When a patient experiences shortness of breath, this could suggest respiratory distress or inadequate oxygenation, which can have serious implications for their health. Similarly, changes in vital signs—such as an increase in heart rate, drop in blood pressure, or alteration in oxygen saturation levels—can signify that the patient is under stress or facing complications during the transfer process.

Monitoring vital signs is a fundamental part of a CNA's role, especially during activities that may be physically demanding for the patient, such as transfers. If any abnormalities are noted, it is critical to stop the transfer and assess the patient further, as they could be at risk for a more severe medical event.

In contrast, expressing satisfaction or being witnessed by another staff member does not inherently indicate a problem; these factors might indicate that everything is proceeding normally. Additionally, a patient requesting to walk could be seen as a positive sign of independence and willingness, but it requires careful assessment to ensure that the patient is physically stable enough to do so.