A nurse is preparing to safely transfer a client who has generalized weakness 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 strong side and lock the brakes.
- 2Assist the client to sit on the edge of the bed and assess for dizziness.
- 3Apply a transfer belt securely around the client's waist over their clothing.
- 4Grasp the transfer belt on both sides and assist the client to a standing position.
- 5Pivot on the back foot and guide the client to lower themselves into the wheelchair.
Answer
The correct sequence is: Position and lock the wheelchair, assist the client to sit on the edge of the bed, apply the transfer belt, assist the client to stand, and finally pivot to the wheelchair.
A safe bed-to-chair transfer prioritizes client stability and proper nursing body mechanics. First, the environment must be prepared by positioning the wheelchair on the client's strong side and locking the brakes to prevent movement. Next, the client is assisted to a dangling position to prevent orthostatic hypotension. The transfer belt is then applied while the client is seated to ensure a snug fit. Once secured, the nurse assists the client to stand. Finally, the nurse and client pivot together, allowing the client to reach for the wheelchair armrests and safely sit.
Step-by-Step Solution
Key Concept
Safe Client Transfer and Mobility