The nurse observes a bed-to-chair transfer for a dependent client. Which actions require follow-up? Highlight the actions that increase injury risk during patient handling.
Highlight in Table
Choose your responses, then check the answer.
Explanation
Manually lifting a dependent client, using equipment without assessment, pulling under the arms, and transferring with too few trained helpers require follow-up. Mobility equipment and staffing should match the client’s current ability.
Quick answer Highlight the manual full-weight lift, device selection without current assessment, pulling under the arms, and proceeding without enough trained helpers. These practices expose the client and staff to falls, skin injury, and musculoskeletal injury.
Why this is correct Safe patient handling uses a current client assessment, appropriate assistive technology, trained staff, and enough help for the task. Mechanical or friction-reducing equipment reduces high-risk manual handling while supporting mobility and dignity.[2]
Easy analogy or mental picture Think of moving a fragile package with a rated lift: assess the load, choose the right device, secure the path, and use trained operators. A person is not cargo, so comfort, consent, ability, and dignity remain central.
Memory hook Assess ability, choose equipment, clear the path, use trained help.
NCLEX decision rule When a client needs transfer help, think current ability before movement; check weight-bearing, cognition, lines, environment, equipment fit, and trained staffing before beginning.
Why the other choices are wrong Explaining the transfer, locking equipment, protecting lines, using the prescribed sling, and pausing when the client becomes dizzy all support safe mobility. Speed or caregiver strength never substitutes for the planned handling method.
References
[1]
NCSBN: 2026 NCLEX-RN Test PlanNational Council of State Boards of Nursing
[2]
VA: Safe Patient Handling and MobilityU.S. Department of Veterans Affairs