A practical nurse is preparing to transfer a client who has left-sided hemiparesis following a cerebrovascular accident from the bed to a wheelchair. In what order should the nurse perform the following actions? (Move the steps into the correct chronological order.)
- 1Position the wheelchair on the client's right side at a 45-degree angle to the bed and lock the wheels.
- 2Assist the client to a sitting position on the side of the bed with their feet resting flat on the floor.
- 3Secure a transfer belt around the client's waist.
- 4Stand directly in front of the client, grasp the transfer belt, and brace the client's left knee with your own knee.
- 5Instruct the client to stand, pivot on their right leg, and reach for the wheelchair armrest with their right hand.
Cevap
The correct sequence is: Position the wheelchair on the right side and lock wheels, assist to a sitting position on the edge of the bed, secure the transfer belt, brace the left knee, and finally assist to stand and pivot on the right leg.
Safe transfer of a client with hemiparesis requires strict adherence to biomechanical principles. The environment must be prepared first by placing the wheelchair on the strong (right) side to ensure the client pivots toward their strength. The client is then brought to a sitting position to stabilize blood pressure. A transfer belt is applied next for a secure hold. Before standing, the nurse must brace the weak (left) knee to prevent it from collapsing. Finally, the client uses their strong side to pivot and stabilize themselves in the wheelchair.
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Anahtar Kavram
Safe Client Transfer Principles and Hemiparesis Precautions