A nurse is preparing to transfer a client who is 2 days postoperative following a right total hip arthroplasty (posterior approach) from the bed to a bedside chair. In what order should the nurse perform the following actions? (Arrange the steps in the correct sequential order)
- 1Place the bedside chair at a 45-degree angle on the client's left side and lock the wheels.
- 2Help the client to a sitting position on the edge of the bed while maintaining the right leg in an extended position.
- 3Secure a transfer belt snugly around the client's waist over their clothing.
- 4Instruct the client to bear weight primarily on the left leg and stand while keeping the right leg extended.
- 5Assist the client to pivot on the left foot and reach back for the chair armrests.
Answer
The correct sequence is: Place the chair on the left side, help the client sit on the bed edge with the right leg extended, apply the transfer belt, stand bearing weight on the left leg while extending the right leg, and pivot on the left foot to sit in the chair.
The sequence follows the standard principles of safe patient handling combined with strict posterior total hip arthroplasty precautions. First, the environment is prepared by placing the chair on the client's unaffected (left) side. Second, the client is assisted to sit on the edge of the bed while the operative (right) leg is kept extended to prevent hip flexion greater than 90 degrees. Third, a transfer belt is applied for safety. Fourth, the client stands, bearing weight on the strong left leg while continuing to keep the right leg extended. Finally, the client pivots on the strong left leg, reaches back for the chair, and sits down while maintaining the operative leg in extension to prevent dislocation.
Step-by-Step Solution
Key Concept
Safe client transfer techniques and posterior total hip arthroplasty (THA) mobility precautions