Positions

Question 0

Woman in labor with un-reassuring FHR (late decels, decreased variability, fetal tachycardia, etc. )

Answer 0

Turn on LEFT side, give O2, stop pitocin, increase IV fluids.

Question 1

Air/Pulmonary embolism

Answer 1

(S & S : chest pain, difficulty breathing, tachycardia, pale/ cyanotic, sense of impending doom)
Turn pt to LEFT side and LOWER the head of the bed.

Question 2

Tube feeding with decreased LOC (loss of consciousness)

Answer 2

Position pt on RIGHT side (promotes empty of the stomach) with the HOB (head of bed) elevated (to prevent aspiration)

Question 3

During epidural puncture

Answer 3

Side lying

Question 4

After lumber puncture (and also oil-based Myelogram)

Answer 4

Pt lies in FLAT SUPINE (to prevent headache and leaking of CSF)

Question 5

Pt with heat stroke

Answer 5

Lie FLAT with LEGS ELEVATED

Question 6

During continuous bladder irrigation

Answer 6

Catheter is taped to thigh so leg should be kept straight. No other positioning restrictions.

Question 7

After Myringotomy

Answer 7

Position on side of AFFECTED EAR after surgery (allows drainage of secretions)

Question 8

After cataract surgery

Answer 8

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

Question 9

After thyroidectomy

Answer 9

Low or SEMI-FLOWERS, support head, neck and shoulders.

Question 10

Infant with spina bifida

Answer 10

Position PRONE (on abdomen) so that sac does not rupture.

Question 11

Bucks traction (skin traction)

Answer 11

Elevate foot of bed for counter-traction.

Question 12

After total hip replacement

Answer 12

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

Question 13

Prolapse cord

Answer 13

Knee-chest position or Trendelenburg.

Question 14

Infant with cleft lip

Answer 14

Position on back or in infant seat to prevent trauma to suture line. While feeding, hold in upright position.

Question 15

To prevent dumping syndrome (post-operative ulcer/ stomach surgeries)

Answer 15

Eat in reclining position, lie down after meals for 20-30 minutes (also restrict fluids during meals, low CHO and fiber diet, small frequent meals).

Question 16

Above knee amputation

Answer 16

Elevate for first 24 hours on pillow, position prone daily to provide for hip extension.

Question 17

Below knee amputation

Answer 17

Foot of bed elevated for first 24 hours, position prone daily to provide for hip extension.

Question 18

Detached retina

Answer 18

Area of detachment should be in the dependent position.

Question 19

Administration of enema

Answer 19

Position pt in LEFT SIDE-LYING (Sims) with knee flexed.

Question 20

After supratentorial surgery (incision behind hairline)

Answer 20

Elevate HOB 30-45 degrees.

Question 21

After infratentorial surgery (incision at nape of neck)

Answer 21

Position pt FLAT and lateral on either side.

Question 22

During internal radiaition

Answer 22

On BEDREST while implant in place.

Question 23

Autonomic dysreflexia/ Hyperreflexia (S&S : pounding headache, profuse sweating, nasal congestion, goose flesh, bradycardia, hypertension)

Answer 23

Place client in SITTING POSITION (ELEVATE HOB) FIRST BEFORE ANY OTHER IMPLEMENTATION.

Question 24

Shock

Answer 24

Bedrest with extremities elevated 20 degrees, knees straight, head slightly elevated (modified Trendelenburg).

Question 25

Head injury

Answer 25

Elevate HOB 30 degrees to decrease intracranial pressure.

Question 26

Peritoneal dialysis with outflow is inadequate

Answer 26

Turn pt from side to side BEFORE checking for kinks in tubing (according to Kaplan).

Question 27

Lumbar puncture

Answer 27

AFTER the procedure, the client should be placed in supine position for 4 to 12 hours as prescribed.