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Zorluk: KolayErgonomics and Safe Use of Equipment

The practical nurse (PN) is preparing to transfer a client who has right-sided weakness from the bed to a wheelchair using the stand-and-pivot technique. In what order should the PN perform the following actions? Arrange the steps from first to last.

  1. 1Position the wheelchair at a 45-degree angle on the client's left side and lock the brakes.
  2. 2Assist the client to sit on the edge of the bed with feet flat on the floor.
  3. 3Apply a gait belt securely around the client's waist.
  4. 4Brace the client's right leg with your knee to prevent buckling.
  5. 5Assist the client to stand, pivot toward the wheelchair, and sit down.

Cevap

The correct sequence is: Position the wheelchair, assist the client to sit, apply the gait belt, brace the weak leg, and then stand and pivot.
Safe patient transfer requires a systematic approach to prevent injury to both the client and the nurse. The environment must first be prepared by locking the wheelchair on the strong side. The client is then assisted to a stable sitting position before applying a gait belt. Bracing the weak extremity is essential right before the pivot to prevent falls, culminating in the stand-and-pivot motion.

Adım Adım Çözüm

1
Set up the environment by positioning the wheelchair on the client's strong side (left) and locking the brakes.
The wheelchair is secure and placed to allow the client to lead with their strong side.
Prevents the wheelchair from rolling and maximizes the client's functional ability.
2
Help the client sit on the edge of the bed and place their feet flat on the floor.
The client is in a stable dangling position with a solid base of support.
Allows the client to adjust to an upright position and prepares them for weight-bearing.
3
Securely fasten a gait belt around the client's waist.
The nurse has a safe, secure hold on the client's center of gravity.
Reduces the risk of falls and prevents the nurse from inappropriately lifting the client by their arms or clothing.
4
Block or brace the client's weak right leg using your own knee or foot.
The client's weak leg is physically supported.
Prevents the weak knee from buckling when the client bears weight during the stand.
5
Guide the client to stand, pivot on their strong leg, and sit in the wheelchair.
The client safely completes the transfer into the wheelchair.
Maintains proper body mechanics for the nurse and utilizes the client's remaining strength safely.

Anahtar Kavram

Safe patient transfer techniques using the stand-and-pivot method
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Konular

Ergonomics and Safe Use of Equipment

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