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
A

CLEFT-LIP

25
Q

Prone

A

CLEFT-PALATE

26
Q

Assist to Lateral Position

A

HEMORRHOIDECTOMY

27
Q

Upright position

A

HIATAL HERNIA

28
Q
  • Eat in reclining position
  • Lie down after meals for 20-30 minutes
A

PREVENTING DUMPING SYNDROME

29
Q

Position patient in Left-side lying (Sim’s position) with knees flexed

A

ENEMA ADMINISTRATION

30
Q

Elevate HOB 30-45 degrees

A

POST SUPRATENTORIAL SURGERY
(Incision behind hairline)

31
Q

Position falt and lateral on either side

A

POST INFRATENTORIAL SURGERY
(Incision at nape of neck)

32
Q

High fowlers

A

INCREASED ICP

33
Q
  • Back as straight as possible
  • Log roll to move and sand bag on sides
A

LAMINECTOMY

34
Q
  • 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
A

SPINAL CORD INJURY

35
Q

Right side lying with pillor ow small towel under puncture site for at least 3 hours

A

LIVER BIOPSY

36
Q

Flat on bed or sitting

A

PARACENTESIS

37
Q

Place patient on the right side to facilitate passage into duodenum

A

INTESTINAL TUBES

38
Q
  • Elevate HOB 30 degrees to orevent aspiration
  • Maintain elevation for continuous feeding or 1 hour after intermittent feedings
A

NASOGASTRIC TUBES

39
Q

Knee chest or Sims or Dorsal Recumbent

A

RECTAL EXAM

40
Q

Patient should be on bed rest while while implant is in place

A

DURING INTERNAL RADIATION

41
Q

Place client in SITTING POSITION (elevate HOB) first before any other implementation

A

AUTONOMIC DYSREFLEXIA

42
Q

Best rest with extremities elevated 20 degrees, knee straight, head slightly elevated (Modified Trendelenburg)

A

SHOCK

43
Q

Elevate HOB 30 degrees to decrease intracranial pressure

A

HEAD INJURY

44
Q

Turn pt side to side before checking for kinks in teh tubing

A

PERITONEAL DIALYSIS (when outflow is inadequate)

45
Q

Semi-fowlers for at least 8 hours

A

MYELOGRAM WATER-BASED DYE

46
Q

Flat on bed for at least 6-8 hours to prevent leakage of CSF

A

MYELOGRAM OIL-BASED DYE

47
Q

Trendelenburg

A

MYELOGRAM AIR DYE

48
Q

Left during, right after

A

LIVER BIOPSY