NCLEX-PN® ExaminationSafety and Infection ControlMedium
An LPN is preparing to transfer a client from the bed to a wheelchair. The client is able to bear partial weight and follow instructions. Which lifting technique should the LPN prioritize to ensure safety for both the client and themselves?
- ARequesting a mechanical lift to minimize any risk of injury.
- BPerforming a one-person pivot transfer with the client pushing off the bed.
- CHaving the client stand independently and then pivot to the wheelchair.
- DUsing a stand-assist aid or a gait belt for a pivot transfer with assistance.
Show answer & explanationAnswer & explanation
Correct answer: D. Using a stand-assist aid or a gait belt for a pivot transfer with assistance.
For a client who can bear partial weight and follow instructions, a stand-assist aid or a gait belt with assistance for a pivot transfer is the safest and most appropriate technique. This technique utilizes the client's strength while providing support and reducing the risk of falls for the client and back injury for the nurse.
Why the other options are wrong
- A. A mechanical lift is over-cautious for a client who can bear partial weight and follow instructions, and may not be necessary, tying up resources unnecessarily.
- B. A one-person pivot transfer without a gait belt/aid for a partially weight-bearing client increases fall risk.
- C. This option assumes the client can stand independently, which is contradicted by 'partial weight-bearing'.
Safe Patient Transfer
Techniques and equipment used to move clients safely between surfaces, minimizing risk of injury to client and healthcare staff.
- Assess client's ability (weight-bearing, comprehension, cooperation).
- Use assistive devices (gait belts, stand-assist aids, mechanical lifts) as appropriate.
- Ensure proper body mechanics for the nurse.
- Always explain the procedure to the client.
Memory trick: Transfer Smart, Use Your Core, Don't Hurt Your Back Anymore!