Podcast
Questions and Answers
During lumbar puncture, the patient is positioned in a lateral recumbent ______.
fetal position
After lumbar puncture, the patient should be in a ______ position to prevent headache.
supine
For a pulmonary embolism, the patient should be turned to the left side and have the head of the ______ lowered.
bed
A patient with shortness of breath should be positioned in high ______.
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After a thyroidectomy, the patient should be maintained in a low ______ position.
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After cataract surgery, the patient should lay on the ______ side.
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Following a total hip replacement, the patient should sleep on the ______ side.
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During administering an enema, the patient should lay on their left side with ______ flexed.
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Women in labor with unreassuring FHR should be turned onto their ______ side.
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For autonomic dysreflexia, it's important to ______ the head of the bed.
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Study Notes
Patient Positioning for Various Procedures
- Epidural puncture: Side-lying
- Lumbar puncture: Lateral recumbent fetal position, then supine to prevent headache
- Pulmonary embolism: Left side-lying with head of bed lowered
- Shortness of breath: High Fowler's position
- Lung biopsy: Side-lying, with arms elevated on pillows
- Chest tube insertion: Arm raised above head
- NG tube placement: High Fowler's
- Tube feeding (decreased LOC): Right side-lying with head of bed elevated to prevent aspiration
- Dumping syndrome: Low Fowler's position 30 minutes after meals
- Hiatal hernia: Fowler's or semi-Fowler's to reduce regurgitation
- Thyroidectomy: Low semi-Fowler's position
- Myringotomy: Affected side down
- Cataract surgery: Unaffected side down
- Continuous bladder irrigation: Leg kept straight
- Internal radiation: On bedrest with implant in place
- Heat stroke: Lying flat with elevated legs
- Total hip replacement: Unaffected side down, HOB no more than 45 degrees, maintain hip abduction
- Buck's traction: Foot of bed elevated for counter traction
- Amputation (above/below knee): Elevated foot of bed for first 24 hours, prone daily for hip extension
- Back pain: William's position
- Myocardial infarction: Semi-Fowler's position
- Autonomic dysreflexia/hyperreflexia: Elevate head of bed
- Head injury: Elevate HOB 30 degrees to decrease intracranial pressure
Patient Positioning for Specific Surgeries and Conditions
- Supratentorial surgery: HOB elevated 30-45 degrees
- Infratentorial surgery: Flat, lateral position on either side
- Peritoneal dialysis (inadequate outflow): Position turned side to side to check for kinks in tubing
- Enema: Left side-lying, knees flexed (Sim's position)
- Appendectomy: Right side-lying, knees flexed
- Paracentesis: High Fowler's (HOB 45-90 degrees)
- Thoracentesis: Seated at the edge of the bed, leaning forward, arms on table
- Spina bifida: Prone position
- Cleft lip infant: Side-lying, supine, or upright in infant seat
- Cleft palate infant: Side-lying or on abdomen
- Woman in labor (uncertain FHR): Left side-lying
- Prolapsed cord: Knee-to-chest or Trendelenburg position
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Description
This quiz covers essential patient positioning techniques for various medical procedures, including epidural punctures, lung biopsies, and cataract surgeries. Understanding proper positioning is crucial for ensuring patient safety and comfort during treatment. Test your knowledge on the specific positions required for different clinical scenarios.
