RLE: Positioning and Draping Flashcards
assist client in good alignment to prevent strains, aches, pressure ulcers
positioning
manner of covering & exposing a body part being examined, prevents muscle discomfort
draping
erect position (standing)
part to be examined
genitals
Back-lying position with knees
flexed and hips externally
rotated; small pillow under
the head; soles of feet on the
surface
dorsal recumbent
areas assessed in dorsal recumbent
Female genitals, rectum, and
female reproductive tract
contraindications for dorsal recumbent
clients who have cardiopulmonary problems.
Back-lying position with legs
extended; with or without
pillow under the head
supine (horizontal recumbent)
areas assessed in supine position
Head, neck, axillae, anterior
thorax, lungs, breasts, heart,
vital signs, abdomen, extremities, peripheral pulses
cautions for supine
Tolerated poorly by clients with
cardiovascular and respiratory
problems.
A seated position, back un
supported and legs hanging
freely
sitting
areas assessed in sitting
Head, neck, posterior and
anterior thorax, lungs, breasts,
axillae, heart, vital signs, upper
and lower extremities, reflexes
cautions for sitting
Older adults and weak clients
may require support
Back-lying position with feet
supported in stirrups; the hips
should be in line with the edge
of the table
lithotomy
areas assessed in lithotomy
Female genitals, rectum, and
female reproductive tract
cautions for lithotomy
May be uncomfortable and
tiring for older adults and often
embarrassing
Side-lying position with low
ermost arm behind the body,
uppermost leg flexed at hip
and knee, upper arm flexed at
shoulder and elbow
sims
areas assessed in sims
Rectum, vagina
cautions for sims position
Difficult for older adults and
people with limited joint
movement.
Lies on abdomen with head
turned to the side, with or
without a small pillow
prone
areas assessed in prone position
Posterior thorax, hip joint
movement
cautions for prone position
Often not tolerated by older
adults and people with
cardiovascular and respiratory
problems
when sitting, feet shouldn’t be ??? for safety
dangling
position for healing after surgeries, general physical exam, various operative procedure, spinal anesthesia
supine
to prevent spinal headache
have client lie flat on bed with no pillows
to prevent bedsores
patient should turn every 2 hours or depending on doctor’s order
to help with positioning so the client wont slide to be positioned properly
lifter
to relax abdomen in horizontal recumbent…
put pillow under the knees
for perineal exam, catheter procedures, perineal care, and abdominal assessment as well
dorsal recumbent
(dorsal recumbent) sole of feet should be
flat on bed
it is done to secure the drape
wrapping
draping in dorsal recumbent
it is placed diagonally, side corners wrapped on each leg/foot
position for perineal procedures
dorsal lithotomy
therapeutic warm water to soak perineal area
sitz bath
fowler’s (3)
low
semi
full
low fowler’s angle
15-30
semi-fowler’s angle
45
if patient is hypertensive, automatically put them in what position
semi-fowler’s
high fowler’s angle
90
high fowler’s can promote what
lung expansion
position for recovering anesthesia, and intubation during operation
high fowler’s
3 hand positions
crossed on chest
above the head
at sides
used to tuck lower part of bed except in instances of edema in lower extremities
top sheet
in folding the top sheet
wrong side to wrong side
in folding the bottom sheet
right side to right side
which side of the sheet should touch the patient
smooth side
NSD
normal spontaneous delivery
cutting the perineal to prevent tear during labor
episiotomy
D&C
dilatation and curettage
cervix is dilated to access uterus and the curette is used to scrape/suction uterus lining
dilatation & curettage
