A practical nurse is preparing to transfer a conscious client from a bed to a wheelchair. Arrange the following nursing actions in the correct sequence from first to last.
- 1Position the wheelchair on the client's strong side and lock the wheelchair brakes.
- 2Assist the client to sit on the side of the bed and let their legs dangle for a few minutes.
- 3Apply a transfer (gait) belt securely around the client's waist.
- 4Stand facing the client, brace their knees with your knees, and assist them to stand.
- 5Instruct the client to pivot on their strong leg and reach back for the wheelchair armrests before sitting.
Cevap
First, position and lock the wheelchair. Next, assist the client to sit on the edge of the bed and dangle their legs. Then, apply a transfer belt. After that, brace the client's knees and assist them to stand. Finally, instruct the client to pivot and lower themselves into the wheelchair.
The correct sequence prioritizes foundational client safety. The nurse must first secure the receiving equipment (locking brakes). Next, physiological readiness must be ensured by allowing the client to dangle to prevent orthostatic hypotension. Once ready, applying a safety device (transfer belt) precedes the actual physical movement. Finally, the physical movement is executed using safe body mechanics (bracing and pivoting).
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Anahtar Kavram
Safe Client Transfer Techniques