NCLEX-RNSafety and Infection Prevention and ControlEasy
A nurse is preparing to transfer a client who has left-sided weakness from the bed to a wheelchair. The client is able to bear partial weight. Which action by the nurse indicates a need for further instruction?
- AUsing a gait belt around the client's waist during the transfer.
- BPlacing the wheelchair on the client's strong (right) side.
- CEnsuring the wheelchair wheels are locked before starting the transfer.
- DAsking the client to push off the bed with their left hand during the transfer.
Show answer & explanationAnswer & explanation
Correct answer: D. Asking the client to push off the bed with their left hand during the transfer.
The client has left-sided weakness, meaning their left hand and arm are weak. Asking the client to push off with their weak side could lead to instability, loss of balance, and potential falls for both the client and the nurse. The client should be encouraged to use their strong side to assist with the transfer.
Why the other options are wrong
- A. A gait belt provides a secure grip for the nurse, reducing the risk of falls and back injury during the transfer.
- B. Placing the wheelchair on the strong side allows the client to pivot more easily and bear weight effectively.
- C. Locking the wheelchair wheels is crucial for safety to prevent accidental movement during the transfer.
Safe Client Transfer
The process of moving a client from one surface to another, such as from a bed to a wheelchair, while ensuring safety for both the client and the healthcare provider.
- Always use the client's strong side to facilitate movement.
- Assess client's ability to bear weight and cooperate.
- Use assistive devices like gait belts and lock wheels for safety.
Memory trick: Strong side first, safety always, don't let them fall!