A registered nurse is preparing to safely move a client who has right-sided hemiparesis from the hospital bed into a wheelchair. In what sequence should the nurse perform the following interventions?
- 1Position the wheelchair on the client's left side at a 45-degree angle to the bed and engage the wheel locks.
- 2Assist the client to a sitting position on the side of the bed and observe for dizziness.
- 3Apply a transfer belt securely around the client's waist and ensure they are wearing non-skid footwear.
- 4Face the client, grasp the transfer belt on both sides, and brace the client's right knee with your own knee.
- 5Instruct the client to stand, pivot toward their left side, and reach for the wheelchair armrest with their left hand.
Answer
The correct sequence prioritizes environmental safety by placing the chair on the strong side, prevents orthostatic hypotension by dangling, secures the client with a gait belt and footwear, stabilizes the weak leg during standing, and executes the pivot toward the strong side.
The correct sequence ensures client safety by addressing environmental, physiological, and mechanical risks in a logical order. The nurse must first prepare the environment by placing the chair on the strong side. Next, the nurse addresses physiological safety by allowing the client to dangle to prevent orthostatic hypotension. Mechanical safety is then established by applying a gait belt and non-skid footwear. Finally, the nurse provides physical support by bracing the weak side during the stand and directing the pivot toward the strong side.
Step-by-Step Solution
Key Concept
Safe client transfer techniques for hemiparesis
Estimated Time:1m 30s