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Zorluk: KolayBasic Care and Comfort

A nurse is preparing to safely transfer a client who has generalized weakness from the bed to a wheelchair. In what order should the nurse perform the following actions? Arrange the steps in the correct sequence from first to last.

  1. 1Position the wheelchair on the client's strong side and lock the brakes.
  2. 2Assist the client to sit on the edge of the bed and assess for dizziness.
  3. 3Apply a transfer belt securely around the client's waist over their clothing.
  4. 4Grasp the transfer belt on both sides and assist the client to a standing position.
  5. 5Pivot on the back foot and guide the client to lower themselves into the wheelchair.

Cevap

The correct sequence is: Position and lock the wheelchair, assist the client to sit on the edge of the bed, apply the transfer belt, assist the client to stand, and finally pivot to the wheelchair.
A safe bed-to-chair transfer prioritizes client stability and proper nursing body mechanics. First, the environment must be prepared by positioning the wheelchair on the client's strong side and locking the brakes to prevent movement. Next, the client is assisted to a dangling position to prevent orthostatic hypotension. The transfer belt is then applied while the client is seated to ensure a snug fit. Once secured, the nurse assists the client to stand. Finally, the nurse and client pivot together, allowing the client to reach for the wheelchair armrests and safely sit.

Adım Adım Çözüm

1
Position the wheelchair on the strong side and lock the brakes.
The equipment is safely prepared.
Ensures the wheelchair will not move during the transfer, preventing falls.
2
Assist the client to sit on the edge of the bed.
The client is seated upright.
Allows the client to stabilize and prevents injury from orthostatic hypotension (dizziness).
3
Apply the transfer belt securely.
The nurse has a safe grasping point.
Provides stability and allows the nurse to support the client's center of gravity without pulling on their arms.
4
Assist the client to a standing position.
The client is safely standing.
Transitions the client to a weight-bearing position using the support of the transfer belt.
5
Pivot and guide the client into the wheelchair.
The client is safely seated in the wheelchair.
Completes the transfer with minimal twisting of the nurse's spine and safe seating for the client.

Anahtar Kavram

Safe Client Transfer and Mobility
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