The nurse is preparing to transfer a client from the bed to the chair for the first time. The client has generalized weakness and is unable to follow instructions. Which would be the most appropriate method for the nurse to use to transfer this client safely?

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11ecbb05_cb57_9d25_b433_03accdca0db5_MD0009_00 To determine the most appropriate method to transfer a client safely for the first time, the nurse should assess 2 factors: Whether the client can bear weight: Neurological deficits (eg, paralysis, paresis [weakness]) Decreased muscle strength (eg, prolonged immobility, multiple sclerosis, muscular dystrophy) Trauma (eg, amputee, hip fracture) Whether the client is cooperative and able to follow instructions: Altered mental status (eg, delirium, drug intoxication) Decreased cognitive ability (eg, dementia, head injury) Given this client's weakness and inability to cooperate with instructions during the transfer, a pivot transfer would be unsafe. A standing-assist lift may also be unsafe as it also requires the client to follow directions. Therefore, a full-body sling with mechanical lift should be used to safely transfer this client (Option D). This prevents musculoskeletal injuries to the health care worker and provides the safest method of transfer for this client. (Option A) A 1-person standby assistance is appropriate for a client with full weight-bearing ability who is either uncooperative or at high risk for falls. (Options B and C) A pivot transfer or standing-assist lift transfer requires client cooperation with instructions to promote safety during the transfer. Educational objective: A client who can bear weight partially but is unable to cooperate with instructions requires a full-body sling with mechanical lift and 2 caregivers for safe transfer.

The Nurse Is Preparing to Transfer a Client from the Bed