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Zorluk: OrtaBasic Care and Comfort

A nurse is preparing to transfer a client who has generalized weakness and right-sided hemiparesis from the bed to a wheelchair. The client is able to bear partial weight. Which action should the nurse take to ensure a safe transfer?

  1. Position the wheelchair on the client's left side at a 45-degree angle to the bed.Cevap
  2. B
    Instruct the client to bear weight primarily on the right leg during the pivot.
  3. C
    Stand with feet close together while lifting to maintain a concentrated center of gravity.
  4. D
    Delegate this initial transfer procedure to an unlicensed assistive personnel (UAP).

Cevap

Position the wheelchair on the client's left side at a 45-degree angle to the bed.
When transferring a client with unilateral weakness (hemiparesis), the wheelchair should always be placed on the client's unaffected or stronger side (in this case, the left side). This allows the client to pivot on the strong leg, securely grasp the far armrest of the wheelchair with their strong arm, and safely guide themselves into the seat.

Adım Adım Çözüm

1
Assess the client's mobility status.
The client has right-sided hemiparesis (weakness) but can bear partial weight.
Determining the strong and weak sides is essential for planning a safe transfer.
2
Determine the optimal placement for the wheelchair.
The wheelchair is placed on the client's left (unaffected) side.
Transfers should always move toward the client's stronger side to maximize their ability to assist and maintain balance.
3
Execute the transfer using proper body mechanics.
The client pivots on the strong leg while the nurse provides support with a wide base of support.
Proper biomechanics prevent falls for the client and musculoskeletal injuries for the nurse.

Anahtar Kavram

Safe Client Transfers and Mobility
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Konular

Basic Care and Comfort

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