The nurse is teaching a group of nursing students about proper client positioning. Which statement by a student nurse indicates an understanding of proper positioning?
A client receiving an enema should be placed on the right side in the Sims’ position.
A client with a below-the-knee amputation should be positioned with the affected limb elevated at a 45-degree angle.
Clients with pulmonary edema should be positioned upright with the legs dangling over the side of the bed.
Clients with a craniotomy should be positioned with the head of bed at a 20-degree angle with the head in a neutral, midline position.
Number 3 is correct.
Clients with pulmonary edema should be positioned upright with the legs dangling over the side of the bed to decrease venous return. Clients receiving an enema should be positioned on the left side in the Sims’ position to allow the gravity flow of the solution to follow the direction of the colon. Client with lower limb amputations should have the affected limb supported but not elevated in order to prevent flexion contractures. Clients with a craniotomy should be positioned with the head of bed at a 30- to 45-degree angle to promote venous drainage from the head.
