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Soru

Zorluk: OrtaBasic Care and Comfort

A practical nurse and an assistive personnel (AP) are preparing to move a postoperative client who has limited mobility up in bed using a draw sheet. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence.

  1. 1Lower the head of the bed to a completely flat position.
  2. 2Remove the pillow from under the client's head and place it against the headboard.
  3. 3Ask the client to fold their arms across their chest and bend their knees.
  4. 4Roll the edges of the draw sheet tightly against the sides of the client's body.
  5. 5Coordinate with the AP to shift weight and slide the client upward on the count of three.

Cevap

1. Lower the head of the bed. 2. Place the pillow against the headboard. 3. Have the client fold arms and bend knees. 4. Roll the draw sheet tightly. 5. Slide the client upward on the count of three.
Moving a client up in bed requires careful sequencing to ensure the safety of both the client and the nursing staff. The procedure must begin by minimizing gravitational resistance, which is achieved by laying the bed flat. Next, the client's head must be protected by placing the pillow against the headboard. Preparing the client's body by crossing their arms and bending their knees reduces friction and allows the client to assist in the move. Finally, establishing a firm grip on the draw sheet close to the client's body allows for a safe, coordinated slide on the count of three, preventing shearing injuries and staff back strain.

Adım Adım Çözüm

1
Lower the head of the bed to a completely flat position.
The bed is horizontal, removing the incline.
Moving a client up an incline increases the physical strain on staff and the friction on the client's skin. A flat bed uses gravity properly.
2
Remove the pillow from under the client's head and place it against the headboard.
The headboard is padded by the pillow.
This crucial safety step prevents head trauma if the client is pulled too far upward during the maneuver.
3
Ask the client to fold their arms across their chest and bend their knees.
The client is in a compact position.
Crossing arms prevents injury and reduces surface area friction. Bending knees allows the client to use their leg muscles to help push.
4
Roll the edges of the draw sheet tightly against the sides of the client's body.
The draw sheet is prepared for grasping.
Holding the draw sheet close to the client's center of gravity improves biomechanics and reduces the risk of dropping or rolling the client.
5
Coordinate with the AP to shift weight and slide the client upward on the count of three.
The client is repositioned appropriately in the bed.
Coordinated action ensures a smooth transfer, reducing shearing forces on the client's skin and minimizing musculoskeletal strain on the staff.

Anahtar Kavram

Proper body mechanics and client safety during mobility assistance
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Konular

Basic Care and Comfort

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