NCLEX-RNBasic Care and ComfortMedium
A nursing assistant is helping a client with right-sided hemiparesis ambulate for the first time after a stroke. On which side of the client should the nursing assistant stand while using a gait belt?
- AOn the client's weaker, right side, slightly behind and to the side
- BOn the client's stronger, left side to provide support from behind
- COn the client's stronger side, positioned in front to lead the walk
- DDirectly in front of the client, walking backward while holding the belt
Show answer & explanationAnswer & explanation
Correct answer: A. On the client's weaker, right side, slightly behind and to the side
The nursing assistant should stand on the client's weaker (affected) side, slightly behind and to the side, to provide maximum support and quickly catch the client if the weak leg buckles.
Why the other options are wrong
- B. Standing on the strong side does not provide support where the client is most likely to fall.
- C. Leading from the front on the strong side does not protect the vulnerable weak side.
- D. Walking backward in front obstructs vision and does not allow proper gait belt control.
Gait Belt Positioning
Proper technique for assisting ambulation using a transfer/gait belt to prevent falls in clients with weakness.
- Stand on the client's weaker side, slightly behind
- Hold the belt with an underhand grip
- Be prepared to ease the client to the floor if a fall begins, do not fight gravity
Memory trick: Weak side, close beside — that's where you guide.