POSITIONING CLIENTS Flashcards

1
Q

Orthopneic position

A

ASTHMA

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2
Q

Flat on bed with head hyperextended

A

POST BRONCHOSCOPY

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3
Q

High-Fowlers

A

CEREBRAL ANUERYSM

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4
Q

HOB elevated 30 degrees to reduce ICP and facilitate venous drainage

A

HEMORRHAGIC STROKE

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5
Q

HOB flat

A

ISCHEMIC STROKE

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6
Q

Keep site extended

A

CARDIAC CATHETERIZATION

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7
Q

Lean forward

A

EPISTAXIS

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8
Q
  • Elevate for first 24 hours on pillow
  • position on prone daily for hip extension
A

ABOVE KNEE AMPUTATION

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9
Q
  • Foot of bed elevated for first 24 hours
  • Position prone daily for hip extension
A

BELOW KNEE AMPUTATION

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10
Q
  • Position pt on right side (to promote emptying of the stomach)
  • HOB elevated to prevent aspiration
A

TUBE FEEDING FOR PATIENTS WITH DECREASED LOC

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11
Q
  • Turn pt to the left side and lower HOB
A

AIR/PULMONARY EMBOLISM

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12
Q

Lung segment to be drained should be in the UPPERMOST POSITION to allow gravity to work.

A

POSTURAL DRAINAGE

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13
Q

Pt should LIE FLAT IN SUPINE to prevent headache and leaking of CSF

A

POST LUMBAR PUNCTURE

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14
Q

Catheter should be taped to thigh so legs should be kept straight

A

CONTINUOUS BLADDER IRRIGATION

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15
Q

Position ON THE SIDE OF AFFECTED EAR after surgery (allows drainage of secretion)

A

AFTER MYRINGOTOMY

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16
Q

Patient will sleep on UNAFFECTED SIDE with a night shield for 1-4 weeks

A

POST CATARACT SURGERY

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17
Q

Area of detachment should be in the DEPENDENT POSITION

A

Detached Retina

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18
Q

Low or Semi-Fowlers, support head, neck and shoulders

A

POST THYROIDECTOMY

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19
Q

DURING: Sitting on the side of the bed and leaning over the table
AFTER: Affected side up

A

THORACENTESIS

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20
Q

Position infant on PRONE so that the sac does not rupture

A

SPINA BIFIDA

21
Q

Elevate feet of bed for counter-traction

A

BUCK’S TRACTION

22
Q
  • Maintain hip abduction by separating thighs with pillows
  • DONTS:
    ~> Dont sleep on operated side
    ~> Dont flex hip more than 40-50
    degrees
    ~> Dont elevate HOB more than 45
    degrees
A

POST TOTAL HIP REPLACEMENT

23
Q

Knee chest position/Trendelenburg

A

PROLAPSE CORD

24
Q
  • Position on back or in infant seat to prevent trauma to the suture line.
  • While feeding, hold in upright position
25
Prone
CLEFT-PALATE
26
Assist to Lateral Position
HEMORRHOIDECTOMY
27
Upright position
HIATAL HERNIA
28
- Eat in reclining position - Lie down after meals for 20-30 minutes
PREVENTING DUMPING SYNDROME
29
Position patient in Left-side lying (Sim's position) with knees flexed
ENEMA ADMINISTRATION
30
Elevate HOB 30-45 degrees
POST SUPRATENTORIAL SURGERY (Incision behind hairline)
31
Position falt and lateral on either side
POST INFRATENTORIAL SURGERY (Incision at nape of neck)
32
High fowlers
INCREASED ICP
33
- Back as straight as possible - Log roll to move and sand bag on sides
LAMINECTOMY
34
- Immobilize on spine board with head in NEUTRAL POSITION - Immobilize head with padded C-collar - Maintain traction and alignment of head manually - Log roll client and do not allow client to twist or bend
SPINAL CORD INJURY
35
Right side lying with pillor ow small towel under puncture site for at least 3 hours
LIVER BIOPSY
36
Flat on bed or sitting
PARACENTESIS
37
Place patient on the right side to facilitate passage into duodenum
INTESTINAL TUBES
38
- Elevate HOB 30 degrees to orevent aspiration - Maintain elevation for continuous feeding or 1 hour after intermittent feedings
NASOGASTRIC TUBES
39
Knee chest or Sims or Dorsal Recumbent
RECTAL EXAM
40
Patient should be on bed rest while while implant is in place
DURING INTERNAL RADIATION
41
Place client in SITTING POSITION (elevate HOB) first before any other implementation
AUTONOMIC DYSREFLEXIA
42
Best rest with extremities elevated 20 degrees, knee straight, head slightly elevated (Modified Trendelenburg)
SHOCK
43
Elevate HOB 30 degrees to decrease intracranial pressure
HEAD INJURY
44
Turn pt side to side before checking for kinks in teh tubing
PERITONEAL DIALYSIS (when outflow is inadequate)
45
Semi-fowlers for at least 8 hours
MYELOGRAM WATER-BASED DYE
46
Flat on bed for at least 6-8 hours to prevent leakage of CSF
MYELOGRAM OIL-BASED DYE
47
Trendelenburg
MYELOGRAM AIR DYE
48
Left during, right after
LIVER BIOPSY