A practical nurse is preparing to transfer a client with right-sided weakness (hemiparesis) from the bed to a wheelchair. Arrange the following nursing actions in the correct sequence to ensure a safe transfer.
- 1Position the wheelchair at a 45-degree angle to the bed on the client's left side.
- 2Ensure the wheels on both the bed and the wheelchair are locked.
- 3Assist the client to an upright sitting position on the edge of the bed.
- 4Apply a transfer belt snugly around the client's waist.
- 5Instruct the client to bear weight on their left leg and pivot into the wheelchair.
Cevap
The correct sequence for a safe transfer is: Position the wheelchair on the unaffected (left) side, lock the brakes on the bed and wheelchair, assist the client to sit on the edge of the bed, apply a transfer belt, and finally, instruct the client to bear weight on the strong leg and pivot.
A safe wheelchair transfer relies on proper preparation, biomechanics, and equipment safety. First, the environment must be prepared by placing the wheelchair on the client's unaffected (strong) side to maximize their participation. Next, all equipment brakes must be locked to prevent accidental movement. The client is then assisted to a sitting position to ensure hemodynamic stability and prevent orthostatic hypotension. Once the client is stable, a gait belt is applied to provide the nurse with a secure hold. Finally, the client uses their strong leg to pivot safely into the wheelchair.
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Anahtar Kavram
Safe Client Transfer and Mobility Principles