Comprehensive Review for the NCLEX-PN Examination HESI

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1. Air/Pulmonary Embolism a. (S&S: chest pain, difficulty breathing, tachycardia, pale/cyanotic, sense of impending doom) --> turn pt to left side and lower the head of the bed. 2. Woman in Labor w... / Un-reassuring FHR a. (Late decels, decreased variability, fetal bradycardia, etc) --> turn on left side (and give O2, stop Pitocin, increase IV fluids) 3. Tube Feeding w/ Decreased LOC --> Position pt on right side (promotes emptying of the stomach) with the HOB elevated (to prevent aspiration) 4. During Epidural Puncture --> Side-lying 5. After Lumbar Puncture (and also oil-based Myelogram) --> Pt lies in flat supine (to prevent headache and leaking of CSF) 6. Pt w/ Heat Stroke --> Lie flat w/ legs elevated 7. During Continuous Bladder Irrigation (CBI) --> Catheter is taped to thigh so leg should be kept straight. No other positioning restrictions. 8. After Myringotomy --> Position on side of affected ear after surgery (allows drainage of secretions) 9. After Cataract Surgery --> Pt will sleep on unaffected side with a night shield for 1-4 weeks. 10. After Thyroidectomy --> Low or semi-Fowler's, support head, neck and shoulders [Show More]

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