A nurse is preparing to transfer a client who has right-sided hemiparesis from the bed to a wheelchair. To prevent injury and ensure a safe transfer, arrange the following nursing actions in the correct chronological sequence.
- 1Position the wheelchair at a 45-degree angle on the client's left side and engage the wheel locks.
- 2Assist the client to a seated position on the edge of the bed with feet resting flat on the floor.
- 3Apply a transfer (gait) belt securely around the client's waist.
- 4Position the nurse's knee and foot to brace the client's right knee and foot.
- 5Rock the client to a standing position and pivot toward the wheelchair on the client's left leg.
- 6Instruct the client to reach back and grasp the wheelchair armrest with their left hand before lowering into the seat.
Answer
The correct sequence for a safe transfer is: position the wheelchair on the strong side (left), assist the client to sit at the edge of the bed, apply the gait belt, brace the weak (right) leg, assist to stand and pivot on the strong leg, and instruct the client to reach for the armrest before sitting.
A safe transfer sequence prioritizes environmental preparation on the strong side, physiological stabilization (dangling), application of safety equipment, and the use of biomechanics that maximize the client's functional abilities while actively protecting weakened extremities from buckling.
Step-by-Step Solution
Key Concept
Safe patient handling and transfer techniques for clients with unilateral weakness.