An LPN/VN is preparing to transfer a client who recently underwent an exploratory laparotomy from the bed to a resting chair. To promote comfort and safety, in what order should the nurse execute these steps?
- 1Elevate the head of the bed to a high-Fowler's position.
- 2Instruct the client to firmly hold a folded pillow over the abdominal incision.
- 3Assist the client to turn and sit on the edge of the bed with legs dangling.
- 4Secure a transfer gait belt around the client's waist.
- 5Assist the client to a standing position, pivot, and lower them into the chair.
Answer
The correct sequence prioritizes positional adjustment, incisional support, hemodynamic stability, mechanical safety, and finally the physical transfer.
When transferring a postoperative abdominal surgery client, the nurse must first elevate the bed to reduce the effort of moving. Next, splinting the incision is required to protect the wound during the exertion of sitting up. Once supported, the client sits on the edge of the bed to allow their blood pressure to stabilize (preventing orthostatic hypotension). After stability is confirmed, the nurse applies the gait belt for a secure grip before finally assisting the client to stand and pivot into the chair.
Step-by-Step Solution
Key Concept
Safe postoperative mobility transfers and incisional care