A practical nurse is preparing to transfer a client with left-sided hemiparesis from the bed to a wheelchair. In what order should the nurse perform the following actions? (Arrange the steps from first to last.)
- 1Position the wheelchair at a 45-degree angle to the bed on the client's right side.
- 2Engage the locking mechanisms on the wheels of both the bed and the wheelchair.
- 3Assist the client to a sitting position on the edge of the bed and securely apply a transfer belt.
- 4Position the nurse's knee against the client's left knee.
- 5Instruct the client to stand, pivot on the right leg, and reach for the wheelchair armrest.
Cevap
The correct sequence is: Position the wheelchair on the right side, lock the wheels, assist the client to sit and apply a transfer belt, brace the client's left knee, and pivot on the right leg.
The safe transfer of a client with unilateral weakness requires maximizing the use of their unaffected side while supporting their affected side. The wheelchair is positioned on the strong (right) side. Safety locks are engaged before moving the client. The client is assisted to sit and secured with a transfer belt. The nurse braces the weak (left) knee to prevent it from collapsing, and the client pivots on the strong (right) leg to safely enter the wheelchair.
Adım Adım Çözüm
Anahtar Kavram
Safe transfer techniques for clients with hemiparesis