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    Vati PN Comprehensive Predictor Proctored Exam

    A nurse is preparing to transfer a client who has left-sided weakness from the bed to a wheelchair. Which of the following actions should the nurse take first?

    Explanation & Rationale

    A. Position the seat of the wheelchair at a right angle to the bed: Proper wheelchair positioning is important to facilitate a safe pivot transfer and reduce the distance the client must move. However, ensuring environmental safety by stabilizing equipment must occur before positioning. The wheelchair can be placed correctly after confirming both surfaces are secure. B. Lock the wheels on the bed: Safety is the priority before initiating any transfer. Locking the wheels on the bed prevents unintended movement that could result in loss of balance or falls, particularly in a client with unilateral weakness. Stabilizing the bed establishes a secure foundation prior to assisting the client to sit or stand. C. Have the client sit at the edge of the bed: Dangling at the bedside allows assessment for orthostatic hypotension and balance, but this step should occur only after ensuring the bed is secure. Assisting the client to sit before locking the wheels increases fall risk if the bed shifts. D. Place a gait belt around the client's waist: A gait belt enhances stability and control during transfer, especially for a client with left-sided weakness. However, it is applied after environmental safety measures, such as locking the bed and wheelchair, are completed.

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