Fundamentals of Nursing Q 447
Nurse Ian is handling a client with gastroesophageal reflux disease. Which of the following positions will best help the client in this case?
A. Right Lateral Recumbent.
B. Supine position.
C. Reverse Trendelenburg position.
D. Sims position.
Correct Answer: C. Reverse Trendelenburg position.
Reverse Trendelenburg position is advised to a client to promote gastric emptying and prevent gastroesophageal reflux. Studies that monitored esophageal acid exposure after elevation of the head of the bed showed a decrease in reflux activity in adults. Placing blocks under the head of the bed or placing a foam wedge under the patient’s mattress can accomplish this.
Option A: In the right lateral recumbent position, the individual is lying on their right side. This position makes it easier to access a patient’s left side. The word “lateral” means “to the side,” while “recumbent” means “lying down.”
Option B: Avoid placing the patient in supine position, have the patient sit upright after meals. Supine position after meals can increase regurgitation of acid. Elevate HOB while in bed to prevent aspiration by preventing the gastric acid to flow back into the esophagus.
Option D: The Sims position is a standard position in which the patient lies on their left side, with right hip and knees bent. The lower arm is behind the back, the thighs flexed. The left knee is slightly tilted. The right arm is positioned comfortably in front of the body, the right arm is rested behind the body. This is also known as “lateral” position. This position is often used for rectal or vaginal examination, and treatments.