Position (2).doc

7/27/2019 Position (2).doc

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` The best position for postoperative patient to

maintain a patient airway:

لمفظالجراحالملمريالمنسالوضع توح:الواكLateral position with neck extended.

الوقه)الرقه.. (واالجالوضعSupine position with face lateral

احالالويوالظراستضعاو)جلا(تخا

Following a radical mastectomy patient to bepositioned:

استصمالمريضيجالذالوضودلا

In semi-fowler with her affected arm elevated.المصة(واالجفالفالنصالجوضع

الوقه)On her un operative side

اخت(لمة(وااخرالجى

Patient with hemopneumothorax had a ICD (intercostal drainage) in the right side what position thepatient should be promote drainage:

فلحادصلاومجاوفيوجتلادصلاووايرصضافجلانملا

فأضجيض:يرملاوجلاصنلاSemi stting

The most suitable to assess the abdomen is:الط:فنلمريالمنسالوضو

تسارظلاSupine position



Following total hip replacement immediatelypost operative you would expect order to include:

المتوقالطأالوصاستدامدشر:المة

Operative leg maintain in abductionالمروالمصالرد

Eye drops: head tilted backward, placing in thedrops conjunctive sac

ارطق:لالاارلالالاضلافسا.المتمة

Patient with DVT:

Patient with leg edema: Elevate the leg above heart level

يردنررلايديولاملا:يرصمج)ةوئاوسف:لا

الب.توفوالمريف

The best position to improve breathing is:

النلتلمريالمنسالوضو Semi sitting positionالنصالجوضع The most suitable to assess the abdomen is:

الطفنالمنسالمريضو Supine positionالظراستء

The nurse is planning care for pt withincreased intracranial pressure the best positionfor this pt is:

ويرمملاطتيرلايرمتلايرملصغلاخادلاضولاسنملاذلاجيالمريضع

Semi-fowler position ة)15-30الرياالجو)فشضع

Patient with hemopnemothorax had a ICD(inter costal drainage) in the right side what



position the patient should be to promotedrainage:

فلحادصلاومجاوفيوجتلادصلاووايرصضافجلانملا

فأضجيض:يرملا)Right side (unaffectedالم(الوقة)ى

Semi sitting(اخت)الجوضع

Facilitate maximum air exchange, pt should beplaced in the

المري:يوضايجالوالتالاالدSupine positionSitting positionHigh-fowlers' positionSemi-fowler's position

The nurse should position pt receiving fromgeneral anesthesia

استنضأالمريايجالممرضة

Supine positionال:التديرSide-lying positionHigh-fowler's position

Trendelenburg position

9 month old child is to have lumbar puncture.A major role of the nurse the nurse during this

procedure is to: م9شا دنزلانطلادلائرلااراءذلمرضة

Hold the child in the chest to knee side-lyingposition

Position Patient during Surgery



]Abdominal surgeries Supine

Bladder surgery Slightly trendelenburgPerineal surgery Lithotomyرشلا Brain surgery Semi-fowler’sSpinal cord surgeries Prone mostly

Lumbar puncture Side lying, flexed bodyحتف دصلب

Post-operative Interventions Some Examples of Position Post Op

Mastectomy Semi-fowlers’, affected armelevatedThyroidectomy Semi fowlers’, head midline

Hemorrhoidectomy Semi-prone, side-lyingLaryngectomy Fowler’sPneumonectomy Lateral, affected sideLobectomy Lateral, unaffected side

HORIZONTAL RECUMBENT OR SUPINEPOSITION



Used to exam or treat the front or anteriorpart of the bodyPt lies flat on back with legs slightly apart

One small pillow is allowed under the headArms are flat at the side of the body

Drape pt with large sheet or drape



PRONE POSITION

Used for exams of back or spinePt lies on the abdomen with head turned

to either side

Small pillow is placed under the headArms may be flexed

at elbows and positioned on either side of the head

Drape pt with large sheet or drape



SIMS’ OR LEFT LATERAL POSITION

Used for simple rectal or sigmoidoscopicexams, enemas, rectal temps, and rectaltreatments

Patient lies on left side

Head rests on small pillow and is turned tothe side

L arm is extended behind the backR arm is bent at elbow and placed in

comfortable position in front of the body

L leg is bent or flexed slightlyR leg is bent or flexed sharply and

brought up to the abdomen



Drape pt with one large sheet or drape ortwo small sheets that meet at the rectalarea

KNEE-CHEST POSITION

Used for rectal exams- usually asigmoidoscopic exam

Pt lies on stomach, abdomen, or proneposition

Pt raises buttocks and abdomen untilweight is resting on upper chest andknees

Head rest on small pillow and is turned toeither side



Arms are flexed slightly at the elbows andextended above the head

Knees are separated slightly

Thighs are at right angles to the table/bedDraping can be done by

1large sheet can be used to coverthe pt

1large sheet with a hole at the rectalarea

2smaller sheets or drapes that meetat the rectal area

FOWLER’S

Used to facilitate breathing, relievedistress, encourage drainage, and

examine the head, neck, and chestPt lies on back with head elevated at

different anglesA small pillow may be place under the pt’s

headFlex knees slightly and place small pillow

under knees

Drape with a large sheet or drapeDon’t tuck sheet!( :

Low- Fowlers: head elevated at 25° angle

Mid-fowler’s or semi –Fowler’s- headelevated at 45° angle



High Fowler’s- head elevated at 90°angle



LITHOTOMY POSITIONUsed for vaginal examinations, pap tests,

urinary catherization, cystoscopicexaminations, and surgery of the pelvicarea



DORSAL RECUMBENT POSITION



Similar to lithotomy position and used forsame purposes

STANDARD TRENDELENBURG POSITION

Used for circulatory shock because itincreases circulation of the blood to thebrain and head

Pt lies flat on back with head on smallpillow

Arms are flat at sides

Entire bed or table is elevated at the feet

Pt lies in horizontal recumbent with headlower than the feet

SURGICAL TRENDELENBURG POSITION



Used for surgery on pelvic organs andpelvic treatments

Pt lies flat on back with head on smallpillow

Arms are flat at sides

Top of table is lowered at an angle tolower the head

Bottom of table is lowered at an angle toincline legs and feet downward

Straps are used frequently to hold the ptin position



JACKKNIFE POSITION

Used for rectal surgery or exams, or back surgery and treatments

Requires a special table that will break inthe middle

Care must be taken so pt will not slide off or be injured in any way

Pt lies in prone position

Secure the safety straps on the tablearound the pt

Lower the top of the table so the headand upper body are inclined at adownward angle

Draping is done in a variety of ways



Special safety precautions

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Position (2).doc