Fundamentals of Nursing Q 431
Which of the following does not match with the appropriate position?
A. Vaginal examination: Lithotomy position.
B. Thyroidectomy: Fowler's position.
C. Hemorrhoidectomy: Lateral position.
D. Hypophysectomy: Prone position.
Correct Answer: D. Hypophysectomy: Prone position.
Hypophysectomy is the surgical removal of the hypophysis (pituitary gland). After the surgery, the client’s head is elevated to prevent increased intracranial pressure. CSF fluid around the brain and spine leaks into the nervous system. This requires treatment with a procedure called a lumbar puncture, which involves inserting a needle into the spine to drain excess fluid.
Option A: Lithotomy position is commonly used during gynecologic, rectal, and urologic surgeries with a patient lying supine with legs abducted 30 to 45 degrees from midline with knees flexed and legs held supported with the foot of the bed lowered or removed to facilitate the procedure.
Option B: When a patient comes back from having their thyroidectomy surgery, place them in a semi-Fowler’s position. Sitting totally upright would put the patient at a 90-degree angle, but in a semi-Fowler’s position, they are angled between 15 and 45 degrees.
Option C: In lateral position, the lower extremities are carefully padded between the knees and below the dependent knee to avoid excessive external pressure over bony prominences. The dependent lower extremity is somewhat flexed to avoid stretch or compression of the lower extremity nerves.