Ms. Dana Hall is a 225-lb. diabetic client, both of whose legs were amputated due to gangrene. The nurse is assisting the physician in changing the post-op dressing and in the application of an elastic bandage before discharge. When lifting and positioning the client, the most favorable action for the nurse is to:
Explanation
Answer: D - The most important step when positioning and lifting this client is to instruct her to use the trapeze. This intervention empowers the client to be in control of her situation, promotes upper body strength, and reduces the strain on the nurse’s back. However, the nurse should first assess the client’s health status, strength, and ability to use the trapeze. Hydraulic lifts are more practical if the client is going to be transferred to a bed, stretcher, or chair. Options C and D are correct principles, but it is most important to elicit the client’s help to lessen the workload and encourage independence.
