A nurse is preparing to transfer a client with right-sided weakness from the bed to a wheelchair. Arrange the following steps in the correct sequence to ensure a safe transfer.
- 1Position the wheelchair on the client's left side at a 45-degree angle to the bed and lock the brakes.
- 2Assist the client to a sitting position on the edge of the bed and assess for dizziness.
- 3Apply non-skid footwear and secure a transfer belt around the client's waist.
- 4Stand facing the client, grasp the transfer belt securely, and brace the client's right knee.
- 5Instruct the client to push up from the bed, stand, pivot toward their left side, and lower into the wheelchair.
Answer
The correct sequence involves preparing the environment, assisting the client to a seated position, applying safety equipment, assuming proper stance, and executing the pivot transfer toward the strong side.
Safe transfer of a client with hemiparesis requires a systematic approach. First, the environment must be secured by locking the wheelchair on the client's strong (left) side. Next, the client is brought to a seated position to allow blood pressure to stabilize. Safety equipment (footwear and gait belt) is then applied. The nurse must then position themselves to protect the client's weak (right) side by bracing the knee. Finally, the transfer is executed by pivoting toward the strong side, maximizing the client's ability to assist and maintain balance.
Step-by-Step Solution
Key Concept
Safe client transfer techniques and body mechanics