A nurse is preparing to transfer a client who has bilateral lower extremity weakness from a hospital bed to a wheelchair using a one-person assist technique. Place the following steps in the sequence the nurse should perform them.
- 1Position the wheelchair at a 45-degree angle to the bed on the client's stronger side and lock the wheels.
- 2Assist the client to sit on the edge of the bed and ensure both feet are resting flat on the floor.
- 3Apply the transfer belt securely around the client's waist, over their clothing.
- 4Stand facing the client, grasp the transfer belt on both sides, and cue the client to stand on the count of three.
- 5Pivot with the client toward the wheelchair and instruct them to reach back for the armrests before sitting.
Cevap
The correct sequence begins with positioning and locking the wheelchair, followed by assisting the client to dangle on the bed edge, applying the transfer belt, assisting the client to stand, and finally pivoting to sit in the wheelchair.
The correct sequence prioritizes environmental safety first by placing and locking the wheelchair in an optimal position. Once the environment is secure, the client is brought to a sitting position to stabilize their blood pressure and establish a firm base of support. Only after the client is safely seated should the transfer belt be applied. Finally, the nurse and client execute a coordinated stand, pivot, and sit maneuver, ensuring the client secures their balance by reaching for the armrests before lowering into the chair.
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Anahtar Kavram
Safe Client Transfer and Mobility