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Difficulty: MediumErgonomics and Safe Use of Equipment

A client is recovering from a right femoral popliteal bypass graft procedure and requires assistance transferring from the hospital bed to a wheelchair. Which action by the practical nurse (PN) demonstrates the safest application of ergonomic principles and equipment use?

  1. Applying a gait belt, locking all wheels, and maintaining a wide base of support while pivoting the client.Answer
  2. B
    Applying a soft waist restraint to the client once seated in the wheelchair to prevent them from sliding forward.
  3. C
    Accepting a task delegated by the registered nurse to conduct the initial safety assessment for a mechanical lift.
  4. D
    Placing the client in the wheelchair with the right knee sharply flexed to keep the foot flat on the footplate.

Answer

Applying a gait belt, locking all wheels, and maintaining a wide base of support while pivoting the client.
Using a gait belt, verifying that the wheels on both the bed and wheelchair are locked, and keeping a wide base of support represent the fundamental principles of safe equipment use and ergonomics. These actions minimize the risk of falls, ensure physical stability, and prevent musculoskeletal injuries to the nurse.

Step-by-Step Solution

1
Assess the client's weight-bearing status, post-operative surgical precautions, and the physical environment.
Ensures the transfer plan accommodates the right femoral popliteal bypass graft and identifies any environmental fall risks.
A thorough pre-transfer assessment dictates the safest ergonomic approach and prevents graft compromise.
2
Prepare the equipment by ensuring the bed is in its lowest position and locking both the bed and wheelchair brakes.
Prevents sudden, unintended movement of the equipment during the physical weight transfer.
Unlocked equipment is a leading cause of transfer-related falls and injuries in clinical settings.
3
Apply a gait belt securely around the client's waist and use a wide base of support during the pivot motion.
Safely shifts the client's center of gravity into the wheelchair while protecting the nurse's back.
Correct body mechanics and the use of assistive devices prevent musculoskeletal injuries to both the client and the healthcare worker.

Key Concept

Safe Patient Handling, Equipment Safety, and Ergonomics
Estimated Time:1m 15s
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Topics

Ergonomics and Safe Use of Equipment

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