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Zorluk: KolayBasic Care and Comfort

An assigned client with generalized weakness needs to be transferred from the bed to a bedside wheelchair. Arrange the following nursing actions in the correct sequence from first to last.

  1. 1Position the wheelchair at a 45-degree angle to the bed and lock both brakes.
  2. 2Elevate the head of the bed and assist the client to sit on the edge.
  3. 3Apply a transfer belt securely over the client's clothing at the waist.
  4. 4Stand facing the client, grasp the transfer belt, and assist the client to pivot into the wheelchair.

Cevap

The correct sequence for a bed-to-wheelchair transfer is: position and lock the wheelchair, assist the client to sit on the edge of the bed, apply the transfer belt, and finally pivot the client into the wheelchair.
When transferring a client from a bed to a wheelchair, the nurse must first prioritize environmental safety by placing the wheelchair in the proper position and locking the brakes. Second, the nurse assists the client to sit on the edge of the bed to allow their blood pressure to adjust, reducing the risk of dizziness or fainting. Third, while the client is safely seated, a transfer belt is applied around the waist to provide a secure grip. Finally, the nurse assists the client to stand, bear weight, and pivot safely into the wheelchair.

Adım Adım Çözüm

1
Position the wheelchair and lock the brakes.
The wheelchair is secured and ready to receive the client safely.
Preparing the environment prevents the wheelchair from rolling backward during the transfer, averting potential falls.
2
Assist the client to a sitting position on the edge of the bed.
The client is seated with their legs dangling over the side of the mattress.
This allows the client to adjust to an upright position and minimizes the risk of orthostatic hypotension.
3
Apply the transfer belt securely.
The nurse has a safe, designated way to grip and support the client's weight.
A transfer belt protects both the client and the nurse from injury during the weight-bearing and pivot phases.
4
Pivot the client into the wheelchair.
The client is successfully seated in the wheelchair.
This action completes the mobility transfer using safe body mechanics and proper support.

Anahtar Kavram

Safe client mobility transfers and prioritization of safety measures.
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