{"id":132183,"key":"Quiz:_Proper_Patient_Positioning_and_Comfort_-_ECSACONM","title":"Quiz: Proper Patient Positioning and Comfort - ECSACONM","latest":{"id":1188769,"timestamp":"2025-09-19T13:55:03Z"},"content_model":"wikitext","license":{"url":"https://www.appropedia.org/Appropedia:Copyrights","title":"CC-BY-SA-4.0"},"source":"{{ECSACONM notice}}\n\nUse the quiz below to check your understanding of the material.\n\n{{Highlight\n| class = float\n| title = Instructions\n| text = Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.\n\n{{Return to main}}\n\n}}\n\n<quiz display=\"simple\">\n{During final checks after transfer to the operating table, the nurse notices the patient’s hips are slightly rotated, but the surgical site is fully accessible. What is the best action?\n|type=\"()\"}\n- Proceed as planned since the surgical site is accessible\n|| ''Surgical access alone is not enough; misalignment can cause injury.''\n+ Reposition the hips to achieve neutral alignment before proceeding\n|| '''Neutral alignment protects joints and tissues during surgery.'''\n- Place additional straps to keep the patient in the current position\n|| ''Strapping in a poor position increases injury risk.''\n- Wait for the surgeon to decide if alignment needs correction\n|| ''The nurse is responsible for ensuring safe positioning before surgery begins.''\n\n{A patient will be in the lateral position for an extended procedure. Which combination of actions best prevents positioning-related injury?\n|type=\"()\"}\n- Place the patient directly on the table with straps only\n|| ''Lack of padding increases injury risk.''\n- Keep legs straight to maintain firmness\n|| ''Straight legs without padding can cause joint strain.''\n+ Pad the dependent shoulder, place a pillow between knees, and ensure head and neck alignment\n|| '''This combination reduces pressure injury and maintains spinal alignment.'''\n- Position only for surgeon’s comfort since anesthesia will prevent discomfort\n|| ''Unconscious patients are more vulnerable to positioning injuries.''\n\n{In a low-resource setting without gel pads, the nurse needs to offload pressure from the patient’s heels during a long surgery. Which adaptation is safest and most effective?\n|type=\"()\"}\n+ Fold two clean towels and place them under the calves so the heels are elevated\n|| '''Elevating calves keeps heels off the table, preventing pressure sores.'''\n- Wrap a pillowcase tightly around the feet\n|| ''Wrapping does not relieve pressure.''\n- Place a blanket directly under the heels\n|| ''Cushioning under the heels still allows pressure to build.''\n- Allow heels to rest on the table since movement is restricted\n|| ''Direct heel contact risks injury over time.''\n\n{After positioning, the nurse notes the IV line is pulling slightly when the arm is moved. What should be done before surgery starts?\n|type=\"()\"}\n- Tuck the arm tightly against the body\n|| ''Tucking may worsen line kinking or tension.''\n+ Reposition and secure the IV line to remove tension\n|| '''Tension-free lines reduce risk of dislodgement or occlusion.'''\n- Move the IV pump closer without checking line tension\n|| ''Moving equipment without adjusting the line may not solve the issue.''\n- Leave it as is since anesthesia will prevent discomfort\n|| ''IV line safety is about maintaining flow and preventing dislodgement, not just comfort.''\n\n</quiz>\n\n{{Return to main}}\n\n{{Page data\n| part-of = Patient Transfer - ECSACONM\n| sdg = SDG03 Good health and well-being\n| organizations = ECSACONM, SELF\n| keywords = surgery, health\n}}"}