Author Question: The nurse is transferring the client who is able to provide minimal assistance from the bed to the ... (Read 63 times)

nelaaney · **on:** Jun 25, 2018

The nurse is transferring the client who is able to provide minimal assistance from the bed to the wheelchair. Which nursing action will provide for the safest transfer for this client?

1. Raising the bed height to waist height
2. Placing the wheelchair on the client's strong side
3. Placing the wheelchair with the feet pointing toward the side of the bed
4. Locking the wheels of the wheelchair and lowering the footplate

Question 2

The nurse is caring for a client who has been on complete bed rest for the past week. As the nurse assists the client to sit in the chair, the client becomes dizzy when the legs are dangled over the side of the bed.

Which action by the nurse is the priority?
1. Returning the client to bed in the Trendelenburg position
2. Calling for help
3. Measuring the client's blood pressure
4. Having the client sit on the edge of the bed for several minutes, and encourage a few deep, slow breaths

abro1885 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

The wheelchair should be placed close to the bed on the client's strong side with the wheels locked and the footrests lifted, not lowered, so they are out of the way. The wheelchair should face the client parallel to the bed. The bed should be placed in the low position so the client's feet are flat on the floor to prevent injury.

Answer to Question 2

Correct Answer: 4

It is not unusual for the client who has been on bed rest to experience orthostatic hypotension when he first sits up. The nurse should stay with the client, hold onto him in case he faints, and have the client sit on the edge of the bed taking slow, deep breaths until the symptoms abate. There is no need to place the client in the Trendelenburg position or to call for help. It is better that the nurse hold on to the client until the symptoms resolve rather than leave the client to obtain blood pressure equipment.