Question

A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next?

a) Place a gait belt around the client's waist
b) Ask the client to stand up and pivot to the chair
c) Call for assistance from another healthcare provider
d) Provide crutches for the client to use during the transfer

Answer 1

After securing a safe environment, the nurse should apply a gait belt for physical support during the transfer from bed to chair, rather than providing crutches immediately. Stability and a wider base of support are crucial, which can be assisted with a gait belt or a supportive device like a cane or crutches after initial stability is achieved.

Step-by-step explanation:

The task of transferring a client who can bear weight on one leg from the bed to a chair requires careful planning and execution by a nurse to ensure safety and stability. After securing a safe environment, the nurse should apply a gait belt or support the client physically. While providing crutches for the client to use during the transfer may offer additional support, it is crucial to recognize the importance of a gait belt for transfers. The gait belt provides a secure way for the nurse to hold onto the client, and it allows for better control during the transfer.

The concept of stability, important in such transfers, is enhanced by a wider base of support and a lower center of gravity. A crutch or cane can aid in widening the base of support, thus increasing stability. Considering the balance and stability factors, guiding the client to stand with their weight-bearing leg, providing support on their weaker side, and assisting in the shift of their center of gravity will be critical steps before using any supportive device like crutches or a cane.