The nurse caring for a client following craniotomy who has a ...

[anshika]

The nurse caring for a client following craniotomy who has a supratentorial incision understands that the client should most likely be maintained in which of the following positions?
 
  1. Prone position
  2. Supine position
  3. Semi-Fowler's position
  4. Dorsal recumbent position

Question 2

The nurse is providing instructions to a client and family regarding home care following cataract removal from the left eye.
 
  The nurse would plan to teach the client which of the following pieces of information about positioning in the postoperative period? 1. Lower the head between the knees 3 times a day.
  2. Bend below the waist as often as possible.
  3. Avoid sleeping on the left side.
  4. Sleep only on the left side.

[Benayers]

Answer to Question 1

3

Rationale: In supratentorial surgery (surgery above the brain's tentorium), the client's head is usually elevated 30 degrees to promote venous outflow through the jugular veins. The client's head or the head of the bed is not lowered in the acute phase of care after supratentorial surgery. An exception to this position is the client who has undergone evacuation of a chronic subdural hematoma, but a physician's prescription is required for positions other than those involving head elevation. Additionally, the physician's prescription regarding positioning is always checked and agency procedures are always followed.

Answer to Question 2

3

Rationale: Following cataract surgery, the client should not sleep on the side of the body that was operated on. Clients should also avoid bending below the level of the waist so as not to increase intraocular pressure.