The nurse assists the patient with transferring from bed to chair by using a transfer belt. Which is the first instruction that the nurse gives to the patient after properly positioning him or her?
a. "Place your arms around my neck to stand up.".
b. "Bend both knees slightly when standing up.".
c. "Hold the transfer belt for stability during transfer.".
d. "Rock to help stand while pushing up with your hands.".
D
A rocking motion and pushing up with the hands moves the patient's body in the direction of the transfer. The nurse is also rocking, and together they move as a unit. Having the patient hold the nurse around the neck increases the risk of injuring the nurse during a transfer. The nurse flexes at the knees and hips to lower his or her center of gravity; this is a more powerful force for transferring and decreasing the risk of back injury than standing upright and leaning toward the patient. The patient wears the transfer belt, and the nurse grabs the belt from underneath as the patient rocks forward. The nurse's force on the belt and the nurse's and patient's weight shifting work as a unit to assist the patient to a standing position.
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