A nurse is preparing to transfer a client with right-sided hemiparesis from the bed to a wheelchair. To prevent falls and ensure client safety, arrange the following nursing actions in the correct sequence.
- 1Position the wheelchair at a 45-degree angle to the bed on the client's left side.
- 2Engage the wheel locks on both the hospital bed and the wheelchair.
- 3Assist the client to sit on the edge of the bed and allow their legs to dangle for a few minutes.
- 4Fasten a transfer belt securely around the client's waist.
- 5Instruct the client to bear weight on their left leg and pivot into the wheelchair.
Answer
The correct sequence prioritizes environmental preparation and securing equipment, followed by client physiological preparation, applying safety devices, and executing the physical transfer.
To ensure client safety and prevent falls during a transfer, the nurse must follow a systematic approach. First, the environment must be prepared by positioning the wheelchair optimally on the client's strong (unaffected) side. Next, the equipment must be secured by locking all wheels. Once the environment is safe, the nurse prepares the client by assisting them to sit on the edge of the bed, allowing time to assess for dizziness or orthostatic hypotension. After the client is stable, a transfer belt is applied to provide a secure handhold. Finally, the physical transfer is executed by having the client bear weight on their strong leg and pivot into the wheelchair.
Step-by-Step Solution
Key Concept
Safe client transfer techniques and fall prevention.