Chapter 14 - Ergonomic Principles

Question 1

Semi-Fowlers

Answer 1

Supine w/ head 15-45 (MC 30 degrees)
Prevents regurgitation/aspiration
Promotes lung expansion (Dyspnea or ventilation)

Question 2

Fowlers

Answer 2

Supine w/ head 45-60
Nasogastric insertion or suctioning
Better drainage post ABD surgery

Question 3

High-Fowlers

Answer 3

Supine w/ head 60-90

Helps relieve severe dyspnea (diaphragm exp)

Question 4

Supine or Dorsal Recumbent

Answer 4

Lies on back w/ head and shoulders on pillow

Req foot support to PVT foot drop

Question 5

Prone

Answer 5

Lies flat on abdomen
Pillow under leg provides comfort
Allows for drainage post oral surgery (limits chest exp)
PVTs hip flexion contractures

Question 6

Lateral or Side-laying

Answer 6

Lies on side w/ most weight on dependent hip/shoulder

Arms in flexion in front

Question 7

Sims or Semi-prone

Answer 7

• Lies on side halfway between lateral and prone
• Wgt is on anterior ileum,humerus,clavicle
• Lower arm is behind
• Upper arm is in front
• Upper leg greater flexion than lower leg
• Comfortable for sleep post oral surgery

Question 8

Orthopneic

Answer 8

Pt sits w/ pillow on overbed table for arm support

COPD pts

Question 9

Trendelenburg

Answer 9

Bed tilted - head lower than feet.

Postural drainage and venous return promotion

Question 10

Reverse Trendelenburg

Answer 10

Bed tilted - feet lower than head.

Gastric emptying and PVTs reflux

Question 11

Modified Trendelenburg

Answer 11

Client flat w/ legs above level of heart

Hypovolemia and venous return.