A male client has right-sided hemiplegia following a left cerebrovascular accident (CVA). His sitting balance has improved, and he is now able to sit in a wheelchair. To assist the client in transferring from the bed to a wheelchair, which action should the nurse take?

Choice A reason: Having the client put both arms around the nurse’s neck is unsafe because it places strain on the nurse’s spine and does not provide proper leverage for the client. Safe transfer techniques require the nurse to use assistive devices or proper body mechanics, not the nurse’s neck for support. Choice B reason: Instructing the client to take slow, deep breaths may help reduce anxiety and promote relaxation, but it does not directly facilitate a safe transfer. Breathing techniques are supportive but not the primary intervention for mobility assistance. Choice C reason: Placing the wheelchair on the client’s left side is correct because the client has right-sided hemiplegia. Positioning the wheelchair on the stronger, unaffected side allows the client to use their left arm and leg to assist with the transfer, maximizing independence and safety. This strategy reduces the risk of falls and promotes rehabilitation. Choice D reason: Instructing the client to look at his feet may help with orientation during movement, but it does not address the need to use the stronger side for support. While visual guidance can be helpful, it is not the most important intervention compared to wheelchair placement.