While assisting a client who has left-sided hemiparesis to move from the bed to a wheelchair, a practical nurse must ensure proper mechanics and safety. In what order should the nurse perform the following actions? Arrange the steps from first to last.
- 1Position the wheelchair on the client's right side at a 45-degree angle to the bed and lock the brakes.
- 2Assist the client to sit on the edge of the bed and ensure their feet rest flat on the floor.
- 3Apply a transfer belt securely around the client's waist, over their clothing.
- 4Instruct the client to bear weight on the right leg and pivot toward the wheelchair.
- 5Guide the client to reach for the wheelchair armrests and lower into the seat.
Answer
The correct sequence is to first position the wheelchair on the strong side and lock it, assist the client to a sitting position on the edge of the bed, apply a transfer belt, instruct the client to pivot on their strong leg, and finally have them lower into the chair using the armrests.
Transferring a client with hemiparesis requires maximizing the use of their strong side to maintain stability and prevent falls. The wheelchair must first be secured on the strong side. The client is then brought to a sitting position to prevent orthostatic hypotension and ensure balance. A transfer belt is applied for safety before any weight-bearing occurs. The client then pivots on their strong leg and carefully lowers into the chair using the armrests for support.
Step-by-Step Solution
Key Concept
Safe transfer techniques and mobility assistance for clients with hemiparesis