A client who is recovering from abdominal surgery is preparing to move from the bed to a bedside chair for the first time. In what sequence should the nurse perform the following actions to ensure a safe transfer? Arrange the steps in the correct chronological order.
- 1Position the bedside chair at a 45-degree angle to the bed and lock all wheels.
- 2Elevate the head of the bed to facilitate a seated posture.
- 3Assist the client to pivot their legs over the edge of the mattress to a dangling position.
- 4Monitor the client for any signs of dizziness or orthostatic hypotension.
- 5Secure a transfer belt around the client's waist before assisting them to stand.
Cevap
The correct sequence begins with preparing the environment (placing and locking the chair), followed by elevating the head of the bed, assisting the client to dangle their legs, monitoring for dizziness, and finally applying a transfer belt before standing.
Safe client mobilization requires a systematic approach. The nurse must first secure the environment by locking the chair in the optimal position. Next, the client is brought upright gradually by elevating the head of the bed and then pivoting to a dangling position. This gradual movement is crucial for post-operative clients to prevent orthostatic hypotension. The nurse must then verify the client's stability by checking for dizziness before applying the gait belt and initiating the weight-bearing phase of the transfer.
Adım Adım Çözüm
Anahtar Kavram
Safe Client Transfer and Mobility