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Hurst Review NCLEX RN > Positioning > Flashcards

Flashcards in Positioning Deck (30)
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1

Trendelenburg

head lower than feet

2

fowlers

supine HOB 40-50 degrees

3

semi fowlers

supine HOB 30 degrees

4

prone

abdomen

5

high fowlers

supine HOB 90 degrees

6

burns to face

elevate HOB to prevent or reduce facial head and trachial edema

7

circumferential burns of extremeties

eleveate extremities above level of heart to prevent ad reduce edema

8

mastectomy

semi fowlers with affected arm elevated on pillow

9

thyroidectomy

semi fowlers to reduce edema in nec area

10

hemorrhoidectomy

lateral to prevent pain and bleeding

11

GERD

reverese trendelenburg to promote gastric emptying and prevent reflux

12

Liver biopsy

During: left side supine with right arm raised and extened over left shoulder behind head

After: right side lying (lateral). applt pressure for 3 hours to prevent bleeding

13

nasogastric tube

insertion: high fowlers

irrigation and feeding: semi fowlers

14

enema and rectal irrigations

left sims to allow solution to flow

15

COPD

sitting, leaning forward, arms on table

16

Thoracentesis

during: upright or sitting at the edge of bed , arms on teh overbed table , leaning forward and feet supported on foot stool

after: lay on unaffected side for 1 hr to prevent leakage

17

epistaxis

sitting, upright leaning forward with head tipped

18

plmonary edema

high fowlers with legs slightly dependent (lowered)

19

flail chest

semi fowlers turned towards affected side to control breathing

20

SIDS

supine or side lying position in firm bed

DO NOT PLACE IN PRONE DURNG SLEEP

21

CHF

high fowlers

22

arterial insuff.

lower extremeties slighly lower than level of heart

23

venous insuff

lower extremeties elevated. promote venous return

24

tet spell

knee chest or squatting

25

air emobolism

left side lying, trendelenburg to allow air to be absored in the right side of the heard and prevent pulmonary emobolism

26

dumoing syndome

left side lying to slow down emptyinh of gastic contents

27

cleft lip

side lying to prevent aspiration

NO TO PRONE
restain elbow to prevent trauma to suture line

28

cleft palate

side lying and prone

29

renal biopsy

during: prone

after: supine to apply pressure adn prevent bleeding

30

shock

modified trendelenburg