What position should the nurse place the client before surgery in?
A female client is experiencing painful and rigid abdomen and is diagnosed with perforated peptic ulcer. A surgery has been scheduled and a nasogastric tube is inserted.
A. Sims position B. Supine position C. Semi-fowlers position D. Dorsal recumbent position
After a surgery, there are certain positions that patients should be sitting in so that they will recover better. These positions are known as the fowlers positions. For the fowler’s position which is named after the man, George Ryerson Fowler, it requires the patient to sit in the bed where the head of the bed is raised up and the foot of the bed remained flat.
For this client, the patient should be placed in the semi fowler’s position. This means that the bed is positioned so that the head of the bed is risen to about a 30-degree angle. This helps for those surgery patients who just went through heart, lung or other issues related to those organs. Then they will recover better.
The best position is C. Semi-Fowler’s position may be the best option available. This is the position wherein the patient’s trunk and head will be raised from 15 degrees to 45 degrees. The nurse may adjust this to 30 degrees as this is the most common. This is the type of position done in order to minimize the distress caused by respiratory illnesses.
In this case, the female would need to be in this position in order to restrict the stomach contents from just one place. The Sims position is specifically done for rectal examinations. The supine position is the most common surgical position but will not be useful for this case. The dorsal-recumbent position is used for the examination of the vagina and other similar procedures.