A practical nurse is preparing to transfer a client who has right-sided hemiparesis from the bed to a wheelchair. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.
- 1Position the wheelchair on the client's left side at a 45-degree angle to the bed.
- 2Engage the wheel locks on both the bed and the wheelchair.
- 3Assist the client to sit on the edge of the bed and ensure their feet rest flat on the floor.
- 4Fasten a transfer belt snugly around the client's waist.
- 5Instruct the client to place their left hand on the wheelchair armrest.
- 6Pivot the client toward their left side and lower them gently into the wheelchair.
Answer
The correct sequence is to first position the wheelchair on the client's strong (left) side, then lock all wheels, assist the client to sit on the edge of the bed, apply the transfer belt, instruct the client to reach for the armrest with their strong hand, and finally pivot the client into the chair.
Safe client handling for a client with unilateral weakness (hemiparesis) requires leveraging their functional abilities while minimizing fall risks. Positioning the chair on the unaffected side (left) is the critical first step because it ensures the client will pivot on their strong leg. Locking the wheels is a mandatory safety prerequisite before initiating any movement. Bringing the client to a seated position allows for cardiovascular accommodation and provides access to properly apply the gait belt around the waist. Finally, directing the client to reach with their strong arm stabilizes their descent into the chair as the nurse physically assists the pivot.
Step-by-Step Solution
Key Concept
Safe client handling and mobility transfer principles for a client with hemiparesis.