Positioning

Question 1

Air embolism

Answer 1

Turn patient on his left side with his head down. Okay

Question 2

Right-sided pneumothorax

Answer 2

Left side to drain, semi-fowler's position to assist
with breathing (both sides and back OK)

Question 3

Post thoracentesis

Answer 3

On the unaffected side as it allows the puncture site

to close. High-fowler’s position may provide comfort.

Question 4

Positioning of an infant with congenital heart defect

Answer 4

Orthopneic position - to promote oxygenation

Question 5

Epiglottitis

Answer 5

Sit up the client.

Protect airway, observe for any drooling.

Question 6

Positioning of a child who is cyanotic with TOF

Answer 6

Squat position or lower the head.

Question 7

Thoracentesis proper position during procedure.

Answer 7

Patient sitting with arms on pillow over the table.

Question 8

S/p Cataract surgery.

Answer 8

No bending, stooping, or lifting, HOB elevation 30-400

Question 9

S/p removal of right cornea, What will be the most
appropriate position during the immediate postoperative
period?

Answer 9

Client position to his left side with head of bed raised
30 degrees.
(to lie on his back and unaffected side. HOB 30 450.
to reduce intraocular pressure).

Question 10

Bone marrow biopsy positions

Answer 10

Sternal (sternum), supine position
lliac crest (right or left), prone position

Question 11

Proper positioning of a client with ICP

Answer 11

Elevate head of bed 30 ° to lower ICP

Question 12

Best position to late heart sound (S3)

Answer 12

Place the patient in a partial left lateral recumbent
position (best heard using bell of the stethoscope)
over the mitral area, near the heart’s apex.

Question 13

Best position to locate heart sound (S4)

Answer 13

Place the patient in the partial left lateral recumbent

position, to bring the heart closer to the chest wall.

Question 14

Feeding stroke patient

Answer 14

Position 90-degree angle during meal time.

Question 15

Infratentorial craniotomy

Answer 15

Keep the bed flat with small pillow under the head

and shoulder

Question 16

Post amputation of lower extremity

Answer 16

Support stump on a pillow for the first 24 hours to prevent contracture.
Turn client onto stomach to prevent hip contractures

Question 17

Condition contraindicated to newborn very with low birth weight

Answer 17

Trendelenburg position

Question 18

Autonomic Dysreflexia (AD)

Answer 18

Let the client sit up to allow blood pool the legs tolower blood pressure and prevent hypertensive hemorrhage.

Question 19

Rectal examination

Answer 19

Sim’s position

Question 20

Trendelenberg position is contraindicated in

Answer 20

Chest and head injury

Question 21

TOF position to increase pulmonary blood flow

Answer 21

Squatting position

Question 22

Client having seizure

Answer 22

Side lying

Question 23

Fetal late deceleration or maternal hypotension

Answer 23

Left side to relieve pressure vena cava and aorta

Question 24

Turning a client as a unit after surgery is called?

Answer 24

Logroll (maintain proper alignment by turning client
by 2 providers or more every 2 hours after
laminectomy.

Question 25

Immediate pot above the knee amputation (AKA)

Answer 25

Do not elevate the stump on a pillow after immediate

postoperative period. ROM will prevent contractures.

Question 26

Hip replacement

Answer 26

Lying on the unoperated side with legs abducted.

Question 27

Child with tetralogy of Fallot (TOF) when became cyanotic

Answer 27

Squat position for older children.

Question 28

Contraindicated position post temporal craniotomy

Answer 28

Do not position client with the head down.

Question 29

Position of client with herniated disk or prolapsed disk

Answer 29

Lying on side with leg flexed.

Question 30

Most common complaint of client who was placed on
lithotomy position under general anesthesia for pelvic
surgery.

Answer 30

Shoulders not the thighs or legs or back.
Rationale- client’s weight is shifted to the shoulders
When placed on lithotomy position.