NCLEX-PN® ExaminationBasic Care and ComfortMedium
An LPN is assisting a client with left-sided hemiparesis to transfer from the bed to a wheelchair. Which action by the LPN demonstrates the safest technique?
- AInstructing the client to push off the bed with their left arm.
- BPositioning the wheelchair on the client's left side, parallel to the bed.
- CStanding on the client's left (weaker) side, providing support at the waist.
- DHaving the client pivot on their left foot during the transfer.
Show answer & explanationAnswer & explanation
Correct answer: C. Standing on the client's left (weaker) side, providing support at the waist.
When assisting a client with unilateral weakness to transfer, the nurse should stand on the client's weaker side. This allows the nurse to provide maximum support and guard against falls if the client's weaker side gives way.
Why the other options are wrong
- A. The client should use their stronger arm to push off, as the left arm is weak and cannot provide adequate support.
- B. The wheelchair should be placed on the client's stronger side to allow them to pivot towards their strong side and use their stronger extremities for assistance.
- D. The client should pivot on their stronger foot if possible, or use both feet with assistance, but pivoting on the weaker foot would be unstable and dangerous.
Client Transfer Safety
Techniques and principles used to safely move clients between surfaces, minimizing risk of injury to client and caregiver.
- Assess client's strength and ability before transfer.
- Use proper body mechanics for the nurse.
- Position wheelchair on client's stronger side for pivot transfers.
Memory trick: Weak side needs your presence, strong side does the work.