Positions

Question 1

Signs and symptoms of air/pulmonary embolism

Answer 1

Chest pain
Difficulty breathing
Tachycardia
Pale/Cyanotic
Sense of impending doom

Question 2

What do we do as the nurse for air/pulmonary embolism

Answer 2

Turn patient to the LEFT side and LOWER the head of the bed

Question 3

Signs and symptoms of a woman in labor with a baby who has an unreassuring FHR

Answer 3

Late decels
Fetal bradycardia
Decreased variability

Question 4

What do we do for a woman in labor who has an unreassuring FHR

Answer 4

Turn to the LEFT side
Give O2
Stop the Pitocin
Increase IV fluids (LR and NS)

Question 5

What position is someone in for an epidural puncture

Answer 5

Side-lying

Question 6

What position is the patient in AFTER a lumbar puncture (and also oil-based myelogram)

Answer 6

Have the pt lie Flat and Supine to prevent CSF from leaking out and prevent a headache

Question 7

What do we do if a patient has decreased LOC during tube feeding

Answer 7

Position the patient on the RIGHT side (to increase gastric emptying) and RAISE the head of the bed to at least 30 degrees (to prevent aspiration)

Question 8

Position for a patient with a CBI

Answer 8

The catheter is taped to the patients leg so the leg should be kept straight, but there are no other positioning limitations

Question 9

Position of a patient after a myringotomy

What is a myringotomy?

Answer 9

Position the patient on the side of the AFFECTED EAR after surgery to allow for drainage of secretions.

This procedure is surgical incision into the eardrum (tympanic membrane), to relieve pressure or drain fluid.

Question 10

Position of a patient after cataract surgery

Answer 10

Patient should sleep on the UNAFFECTED side and have a night shield for 1-4 weeks

Question 11

Position of a patient after a thyroidectomy

Answer 11

Low or semi-fowlers. Support the head, neck, and shoulders. Have a trach at the bedside

Question 12

Position of an infant with spina bifida

Answer 12

Prone! So their sac does not rupture

Question 13

Position of a patient with bucks traction

Answer 13

Elevate the food of the bed for counter traction

Question 14

Position of a patient after total hip replacement

Answer 14

Do not sleep on the operated side. No flexing the hip more than 45-60 degrees. Don’t elevate the HOB more than 45 degrees. Keep the hip abducted by separating legs with a pillow or abductor

Question 15

Position for a mom with a prolapsed cord

Answer 15

Knee-chest position or trendelenburg

Question 16

Position for an infant with a cleft lip

Answer 16

On their back or in an infant seat to prevent trauma to the suture line. If feeding, hold in an upright position

Question 17

Position for an ABOVE the knee amputation

Answer 17

Elevate for the first 24 hours on a pillow. Position prone daily to help with hip extension

Question 18

Position for a BELOW the knee amputation

Answer 18

Foot of bed elevated for the first 24 hours. Position prone daily to help with hip extension

Question 19

Position for a detatched retina

Answer 19

Area of detachment should be in the dependent position

Question 20

Position for administration of an enema

Answer 20

Patient should be LEFT side laying with the knee flexed (Sims position)

Question 21

Position during internal radiation

Answer 21

On bedrest while the implant is in place

Question 22

Position if the patient has autonomic dysreflexia/hyperreflexia

Answer 22

Place the client in a sitting position (elevate the HOB to 90) FIRST before any other implementation

7 S&S include: 
pounding headache
extreme HTN, 
profuse sweating, 
bradycardia
Blurred vision
nasal congestion, 
goose flesh

Question 23

Position for a patient in shock

Answer 23

Modified trendelenberg (extremities elevated 20 degrees) with the knees straight and head slightly elevated

Question 24

Position for a patient with a head injury

Answer 24

Elevate the HOB 30 degrees to decrease ICP

Question 25

Position for a patient with peritoneal dialysis when the outflow is inadequate

Answer 25

Turn the patient from side to side BEFORE checking the tube for kinking

Question 26

When someone has a head injury, what medication are we likely to give

Why do u always use a filter needle ?

Answer 26

Mannitol. An osmotic diuretic that decreases ICP and increase urine output.

This crystallizes at room temperature so ALWAYS use a FILTER NEEDLE