Perioperative Care

Question 1

what is the ambulation style for a patient that just underwent lumbar spinal fusion

Answer 1

• log rolling with the use of a transfer board. This ambulation has to be carried out by minimum 3 people.

Question 2

what is the ambulation style for a patient with lower extremity amputation

Answer 2

trapeze

Question 3

what is the ambulation style for a patient that underwent hip arthroplasty?

Answer 3

abduction pillow

Question 4

what is the ambulation style for a patient that just underwent joint replacement

Answer 4

continuous passive motion

Question 5

low fowler

Answer 5

15 - 30 degrees (a position great for resting)

Question 6

semi fowler

Answer 6

30 - 45 degrees ( a position great for thoracic expansion to improve breathing and make feeding easier)

Question 7

fowler

Answer 7

45 - 60 degrees (same function as semi fowler but here there is more thoracic expansion)

Question 8

high fowler

Answer 8

60 - 90 degrees (prevents acid reflux, aspiration,

Question 9

orthopneic position

Answer 9

a position where you are first upright then leaning forward in a way that gets your arms resting on your knees (this is a position useful for patients with asthma, COPD, pneumonia, better cough efficiency)

Question 10

supine

Answer 10

this is a position where patient completely lays on their back (useful for when doing physical assessment, resting, during operation)

Question 11

prone

Answer 11

this is a position where a patient lays on their stomach (useful for easy secretion drainage like vomiting, also help with preventing hip co traction as it is the only position that allows hips extension)

Question 12

right lateral recumbent

Answer 12

here patient is laying on the right side (this side is useful when pressure is required on the right side of the body, it also useful for gastric emptying thus reducing acid reflux)

Question 13

left lateral recumbent

Answer 13

here the patient is laying on the left side, thus putting pressure on the left side. It is also a beneficial position for pregnant women as this position allows blood flow to the placenta

Question 14

Trendelenburg

Answer 14

this is a position where you lower extremity is raised higher than our upper extremity. This is a position that helps return blood to the heart (venous return), which is useful for a patient that is hypotensive

Question 15

Reverse Trendelenburg

Answer 15

here the upper extremities are placed above the lower extremities. This position helps with gastric reflux (brings the food back down). It is also useful in gradually preparing patients that have been immobile for a long period of time for their first walk to avoid dizziness

Question 16

Sims

Answer 16

also known as half-prone or semi prone. useful for pregnant women, best position for administering enema or suppository,

Question 17

What are some nursing expectations for pre-op patients

Answer 17

• get consent
• put them on NPO
• hold anticoagulants
• assess allergies

Question 18

What are some nursing expectations for post-op

Answer 18

• making sure vital signs are stable
• managing pain
• client education