Positioning

Question 1

NGT placement

Answer 1

High Fowlers

Question 2

SoB

Answer 2

Semi to High Folwers

Question 3

Air/Pulmonary Embolism

Answer 3

Left lateral + lower the head of bed (Trendelenburg)

Question 4

Head Injury

Answer 4

elevate HOB 30 degrees to decrease intracranial pressure


Question 5

Woman in Labor w/ Un-reassuring FHR

Answer 5

Left lateral (to keep pressure off inferior vena cava)

Question 6

After Total Hip Replacement

Answer 6

• don’t sleep on operated side
• don’t flex hip more than 45- 60 degrees
• don’t elevate HOB more than 45 degrees.
  Maintain hip abduction by separating thighs with pillows

Question 7

Tube Feeding w/ Decreased LOC

Answer 7

• Right lateral + elevated HOB

- Will help with gastric emptying and prevent aspiration

Question 8

Infant w/ Spina Bifida

Answer 8

Prone (to avoid sac rupture)

Question 9

During Epidural Puncture

Answer 9

lateral

Question 10

Prolapsed Cord

Answer 10

Trendelenburg or knee-chest position

Question 11

During Lumbar Puncture

Answer 11

lying with head, back, and knees flexed

Question 12

After Lumbar Puncture

Answer 12

Supine (prevents CSF leakage)

Question 13

After Myringotomy (to relieve pressure caused by excessive buildup of fluid, or to drain pus from the middle ear)

Answer 13

Position on side of affected ear after surgery (allows drainage of secretions)

Question 14

Infant w/ Cleft Lip

Answer 14

Supine to prevent trauma to suture line

Question 15

After Cataract Surgery

Answer 15

Pt will sleep on unaffected side with a night shield for 1-4 weeks

Question 16

To Prevent Dumping Syndrome

Answer 16

Eat in low Fowlers position, lie supine after meals for 20-30 minutes
don’t drink during meals

Question 17

After Thyroidectomy

Answer 17

Low or semi-Fowler’s

Question 18

Above Knee Amputation

Answer 18

• elevate amputation for first 24 hours on pillow

- position prone daily for hip extension and prevent contractures

Question 19

Detached Retina

Answer 19

area of detachment should be in the dependent (lower) position

Question 20

Below Knee Amputation

Answer 20

• foot of bed elevated for first 24 hours

- position prone daily to provide for hip extension and to prevent contractures

Question 21

Administration of Enema

Answer 21

Sim’s

On side w/ one leg lifted up and other extended down

Question 22

After Supratentorial Surgery (incision behind hairline)

Answer 22

Semi-Fowlers

Question 23

Autonomic Dysreflexia/Hyperreflexia

Answer 23

High Fowlers

Question 24

After Infratentorial Surgery (incision at nape of neck)

Answer 24

Lateral

Question 25

Paracentesis

Answer 25

high Fowlers + empty bladder

Question 26

Chest tube insertion

Answer 26

arm raised above head

Question 27

After liver biopsy

Answer 27

• lie on R side for 2 hrs and then supine

lying on R side is to help occlude puncture site