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What position is this? The patient is side lying with the upper leg bent.
What is the position good for? - answer Left Sims Position; Enemas
What position is this? The patient is positioned on his/her back; this
position avoids hip flexion. When is this position used? - answer Supine;
after a lumbar puncture to help prevent headache and leakage of spinal
fluid.
What position is this? - answer Lateral
What position is this? Patient is positioned on his/her stomach. When is
this used? - answer Prone; This position promotes extension of the hip
joint and is often used with ARDS patients.
What position is this? Patient positioned sitting up; What are the
different types of this position? What does it increase and allow the
body to do? When is this position appropriately used for after surgery? -
answer There is high fowler's, fowler's, semi-fowler's and low fowler's
,position. This position increases venous return and allows lung
expansion.
Low or semi-Fowler's is appropriate after Thyroid surgery.
What position is this? What does this allow blood to do? When can this
be used to move a patient? When the feet are down, what would this
be called?
Make sure you look at the head or the feet to determine what type of
position this is. - answer Trendelenburg. Positioned with head down to
increase blood return to the heart. This position can be used to bring up
a patient in bed. When the feet are down, this would be called reverse
Trendelenburg.
What position is this? When is it used? - answer Lithotomy. The position
most often thought of with children however not only used during
childbirth, also used during surgical procedures.
When a patient has an Air/Pulmonary embolism, how should the
patient be laying? - answer The patient should be on left side and lower
the head of the bed
During an epidural, how should the patient be laying? - answer The
patient should be side-lying
,When a patient has a tube feed running, how should the patient be
laying? - answer When feeding a patient via a tube feeding, the client
should have the head of bed elevated.
After ear surgery (myringotomy) how should the patient be laying? -
answer Position the patient side-lying on effected side to allow for
drainage.
After cataract surgery, how should the patient lay? - answer The patient
should sleep on the unaffected side with a night shield in place for 1-4
weeks.
Crutches:
How many fingers should be able to fit between the armpit and the top
of the crutch?
Where should the patient put all their weight?
At what degree angle should the elbows be at when used?
When using crutches going up the stairs and down the stairs, how
should they walk? - answer 20-30 degrees
What are the two types of canes? What degree should the elbows be
at? What should the height be at on for the patient? Explain how the
person should walk with the cane. - answer
, When using a walker, what angle should the patients elbow be at? What
leg should move with the walker? - answer
Restraints are used when? - answer Clinical Restraints - used if the
patient is trying to interfere with life-saving treatment (e.g. pulling out
an ET tube)
Violent or Self-Destructive Behavior Restraints - patient is trying to harm
self or others
(e.g. a suicidal patient)
What type of restraints are there? - answer - Jacket or vest
- Roll belt
- Mitten
- Wrist
How should a patient be restrained onto the bed? - answer Secured to
bed or frame that is NOT movable.
Critical Thinking - answer Intentional higher level thinking. Defines
clients problem. Examines evidence based practice. Makes choices in
the delivery of care.