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Zorluk: KolayBasic Care and Comfort

During a mobility assessment, a client with left-sided hemiparesis needs to be moved from their bed to a sitting position in a wheelchair. What is the correct sequence of actions the nurse should take to execute this transfer safely?

  1. 1Place the wheelchair on the client's unaffected side at a 45-degree angle to the bed.
  2. 2Lock the wheels on both the client's bed and the wheelchair.
  3. 3Assist the client to a sitting position on the edge of the bed and ensure their feet are flat on the floor.
  4. 4Securely apply a transfer gait belt around the client's waist.
  5. 5Instruct the client to bear weight on their unaffected leg and pivot into the wheelchair.

Cevap

The correct sequence is: position the wheelchair on the unaffected side, lock all wheels, assist the client to sit on the edge of the bed, apply a gait belt, and finally pivot the client into the wheelchair.
When transferring a client with unilateral weakness, safety and maximizing the use of the client's remaining strength are the top priorities. The nurse must first prepare the physical environment by placing the wheelchair on the client's unaffected side and locking all wheels. Next, the client is assisted to a sitting position on the edge of the bed to allow cardiovascular stabilization. Once the client is seated safely, a gait belt is applied for physical support. Finally, the nurse assists the client to stand, bear weight on their unaffected leg, and pivot safely into the chair.

Adım Adım Çözüm

1
Place the wheelchair on the client's unaffected side at a 45-degree angle to the bed.
The wheelchair is properly positioned for the transfer.
This allows the client to pivot toward their stronger side, using their unaffected arm and leg to assist with movement.
2
Lock the wheels on both the client's bed and the wheelchair.
Both the bed and wheelchair are stabilized.
Stabilizing the equipment is a fundamental safety step to prevent it from sliding away while the client is bearing weight.
3
Assist the client to a sitting position on the edge of the bed and ensure their feet are flat on the floor.
The client is in a stable, seated position with a solid base of support.
This step prevents orthostatic hypotension and ensures the client regains balance before attempting to stand.
4
Securely apply a transfer gait belt around the client's waist.
The nurse has a safe, secure way to support the client's center of gravity.
The gait belt minimizes the risk of falls and prevents the nurse from inappropriately pulling on the client's weaker arm or shoulder.
5
Instruct the client to bear weight on their unaffected leg and pivot into the wheelchair.
The client is safely seated in the wheelchair.
Pivoting on the strong leg ensures stability and successfully completes the safe transfer process.

Anahtar Kavram

Safe Client Transfer Techniques
Tahmini Süre:1m 15s
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Konular

Basic Care and Comfort

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