Soru

Zorluk: OrtaBasic Care and Comfort

A practical nurse is assisting a client with left-sided hemiparesis to transfer from the bed to a wheelchair. In what order should the nurse perform the following actions? Arrange the steps from first to last.

  1. 1Position the wheelchair on the client's right side at a 45-degree angle.
  2. 2Ensure the wheels on both the bed and the wheelchair are locked.
  3. 3Assist the client to a sitting position on the edge of the bed.
  4. 4Secure the transfer belt snugly around the client's waist.
  5. 5Pivot the client toward their unaffected side and lower them into the wheelchair.

Cevap

First, position the wheelchair on the right side. Second, lock the wheels. Third, assist the client to sit on the edge of the bed. Fourth, secure the transfer belt. Finally, pivot the client into the wheelchair.
Safe transfer protocols require organizing the environment first (placing the chair on the strong side), securing the equipment (locking wheels), moving the client to a stable intermediate position (dangling), applying safety devices (transfer belt), and finally executing the movement leading with the strong side.

Adım Adım Çözüm

1
Identify the client's physical limitations and determine equipment placement.
The client has left-sided weakness, meaning the right side is strong. The wheelchair is placed on the strong side.
Transfers should always lead with the client's strong side to maximize stability and minimize fall risk.
2
Secure the transfer environment.
Both the bed and the wheelchair wheels are locked.
Equipment must be immobilized before the client shifts their weight to prevent the bed or chair from moving.
3
Determine the physical sequence for moving the client safely.
Sit the client on the bed, apply the transfer belt, and then pivot to the chair.
The client must be seated safely before the safety belt can be properly applied, and the belt must be secured before attempting to bear weight or pivot.

Anahtar Kavram

Safe client transfer techniques and mobility assistance
Bu soruyu puanla