WorksheetsPatient Positioning
Total questions: 10
Worksheet time: 5mins
A 40 year old patient awakens from general anesthesia and is experiencing numbnesss and tingling in his fourth and fifth fingers Which of the following factors is LEAST likely to cause this complication?
A malfunctioning blood pressure cuff on that arm
Trauma associated with starting an intravenous line the antecubital fossa
Prolonged flexion of the elbow at >90 degrees
Microvasculitis and the perioperative inflammatory response
A 20 year old patient is placed in the prone position, all of the following structures are at risk for pressure injury EXCEPT?
A colostomy stoma
The femoral artery
Female breast
Male genitalia
A 35 year old patient complains of a postoperative sensory deficit involving the lateral thigh without an associated motor deficit in that extremity. Which of the following nerve suggests this neuropathy
Sciatic
Obturator
Lateral femoral cutaneous
Peroneal
A patient underwent a 5 hour facial plastic surgical procedure under general anesthesia with arms at side. The first postoperative day he complained of numbness in the fourth and fifth digits of his right hand, but no loss of motor function. The most appropriate next step is to:
Observe the patient daily for 5 days for signs of resolution of the neuropathy
Institute physical therapy
Obtain an electromyography study
Send the patient to a neurologist
A 50 year old patient in Trendelenburg position n is at increases risk for which of the following complications?
Hypotension and decreases cardiac output
Decreased intracranial pressure and cerebral edema
Increased venous return, potential airway edema, increased intraocular pressure
Brachial plexus stretch injury due to shoulder braces placed on the acromion
A 70 year old male patient undergoing TURP , Which nerve is most commonly injured in the lithotomy position due to compression against the stirrup?
Ulnar nerve
Radial nerve
Common peroneal nerve
Sciatic nerve
A patient undergoing spine surgery is on prone position, what is the most critical intervention to prevent ocular Injury?
Frequent assessment of lower extremity circulation
Ensuring the head is in a neutral position with proper padding to avoid direct eye pressure
Maintaining the patient in a slight Trendelenburg tilt
Avoiding flexion of the knees
A 40 year old male patient in the prone position should have chest support placed to?
Impinge on the axilla to provide stability
Allow for maximal chest expansion and avoid abdominal compression
Support the patient entirely on their sternum
elevate the head only, with no other support
A 50 year old male in the lateral decubitus position has which precaution that is essential to prevent pressure-related injuries to the dependent eye?
Using a foam headrest without additional padding
Ensuring the dependent eye is in direct contact with the operating table
Positioning the head to maintain neutral alignment and using protective padding
Turning the head away from the dependent side without support
A 30 year old male during laparoscopic surgery is in Trendelenburg position, What is the primary physiological concern when placing a patient in the Trendelenburg position ?
Decreased intracranial pressure
Reduced venous return leading to hypotension
Increased intracranial and intraocular pressures
Enhanced pulmonary compliance
