Exam 5: Positioning the Patient for Surgery

Albert Janson,a 325-pound patient,is scheduled for a 6-hour abdominal surgery.While assessing Mr.Jennings in the preoperative holding area,the perioperative nurse is concerned about the risk for pressure injury because of the weight of the patient's body pressing against the surface of the OR bed for a long surgery.Which of these other factors may also produce pressure?

Select the positioning devices and accessories commonly used for bariatric surgery.

Number the sequence of steps for positioning a patient in supine position with urinary catheter insertion. a.Abduct arms less than 90 degrees on padded armboards. b.Place safety strap 2 inches above knees. c.After anesthesia induction and intubation,prepare urinary catheter sterile equipment. d.Place small pillow or headrest under head. e.Flex legs in a frog-leg fashion,externally rotating the thighs. f.Transfer patient to lie with the back flat on the locked OR bed.

Jennifer Twist,a 3-year-old patient for bilateral myringotomy with tubes,is frantically screaming and thrashing on separation from her parents as the anesthesia provider carries her to OR 3.The perioperative nurse,pushing the empty transfer vehicle,identifies that Jennifer is at high risk for injury from _,and is planning appropriate position-related protective measures:.Select from the options to fill in the blanks.

Number the sequence of steps for positioning a bariatric patient in supine position. a.Place bariatric ramp or stacked bath blankets and towels to create elevation. b.Place under-body forced air-warming blanket on OR bed. c.Transfer patient to OR bed and place 2 leg safety straps across thighs and lower legs. d.Select weight- and size-appropriate OR bed and lock in place. e.Apply SCD wraps to legs and support knees with pillows under knees. f.Pad armboards to match elevated level of patient's shoulders.

Number the sequence of steps for positioning a patient in Fowler's position. a.Slowly raise the upper body section to desired height and angle. b.Flex the knees as the leg section is lowered. c.Secure head in the appropriate headrest. d.Rest arms on patient's lap with a pillow or on armboards. e.Place a footrest at the bottom of the leg section. f.Initial position is in appropriate supine for induction and intubation.

Select the positioning devices and accessories commonly used for prone position.

Select three basic criteria requirements that an OR bed mattress must meet.

Prolonged lithotomy positioning can result in neuropathies of the legs.The most frequently injured nerves are the obturator,sciatic,femoral,and _ nerve,which can result in injury from __.

Tara Shaw,the circulating nurse,instructed the new anesthesia resident in the proper positioning of the arm and hands on the OR bed armboards.She cautioned him to avoid pressure on the elbow to prevent: