A practical nurse is preparing to transfer a client who had a right total hip arthroplasty (posterior approach) two days ago from the bed to a chair. In which order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.
- 1Position a sturdy chair on the client's left (unaffected) side.
- 2Ensure the wheels on both the bed and the chair are securely locked.
- 3Assist the client to a sitting position on the edge of the bed while keeping the right leg extended.
- 4Apply a transfer belt securely around the client's waist.
- 5Instruct the client to bear weight on the left leg and pivot into the chair.
Cevap
The correct sequence is: position the chair on the unaffected side, lock the wheels on the bed and chair, assist the client to sit on the edge of the bed with the operative leg extended, apply the transfer belt, and finally pivot the client into the chair using their unaffected leg.
Transferring a client after a posterior total hip arthroplasty requires strict adherence to safety and positioning precautions. The environment must be prepared first by placing the chair on the client's strong side and locking all wheels. Once the environment is secure, the client is brought to a sitting position while maintaining the operative leg in extension to prevent hip flexion greater than 90 degrees. The transfer belt is then applied while the client is seated to ensure a snug fit. Finally, the client pivots on the strong, unaffected leg to move into the chair, protecting the surgical joint from dislocation.
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Anahtar Kavram
Safe postoperative mobility and positioning following total hip arthroplasty
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