A practical nurse is preparing to transfer a client who has left-sided weakness from the edge of the bed to a wheelchair. In what order should the nurse perform the following actions?
- 1Place the wheelchair on the client's right side at a 45-degree angle and lock the wheels on both the bed and the wheelchair.
- 2Put non-slip footwear on the client and verify that both feet are resting flat on the floor.
- 3Securely fasten a transfer belt around the client's waist over their clothing.
- 4Brace the client's left foot and knee while assisting them to a standing position.
- 5Pivot the client on their right leg until the back of their knees touches the wheelchair seat.
- 6Instruct the client to reach back and grasp the wheelchair armrests before slowly sitting down.
Cevap
The nurse must first secure the environment by placing the wheelchair on the client's strong side and locking all brakes. Next, the nurse prepares the client with non-slip footwear and a transfer belt. Finally, the nurse executes the transfer by bracing the weak leg, assisting the client to stand, pivoting on the strong leg, and having the client reach for the armrests before sitting.
Safe transfer mechanics require setting up the environment first (wheelchair placement on the unaffected side with brakes locked), followed by client preparation (non-slip footwear and a transfer belt). During execution, the nurse must brace the weak side while the client bears weight and pivots on the strong side. Finally, the client secures their balance by reaching for the armrests before lowering into the seat.
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Anahtar Kavram
Safe Client Transfer and Mobility