& x20;Identify the position in a given image.

NORCET 1 - 2020

Nursing Foundation

Easy

Identify the position in a given image.

Appeared in: NORCET 1 - 2020

The image shows a patient lying on their back with the entire bed tilted so the head is higher than the feet.
This specific orientation is defined as the Reverse Trendelenburg position.
This position uses gravity to pull the abdominal organs downward, which can help improve breathing in certain patients and is used during some surgical procedures on the head and neck.
It is also used to help reduce the risk of gastroesophageal reflux and aspiration.

Option B: The lithotomy position involves the patient lying on their back with their legs raised and supported by stirrups. The image does not show the patient's legs in stirrups.
Option A: The Trendelenburg position is the opposite of the position shown. In the Trendelenburg position, the patient's head is lower than their feet.
Option D: The dorsal recumbent position involves the patient lying on their back with their knees flexed and feet flat on the bed. The bed itself is not tilted in this position.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Identification of standard patient positions as background academic context rather than a clinical decision trigger.
Correct patient positioning is a fundamental nursing skill crucial for patient safety, comfort, and the effectiveness of medical procedures.
Improper positioning can lead to complications such as pressure injuries, nerve damage, respiratory compromise, and hemodynamic instability.
Understanding the indications for each position allows the nurse to anticipate patient needs and prepare the environment for examinations or procedures.

How to Approach the Question

First, carefully observe the image to identify the key features of the patient's position.
Note the patient's orientation (supine, prone, lateral) and the angle of the bed or examination table.
In this image, the key feature is that the entire bed is tilted, and the patient is lying on their back.
Next, determine the relationship between the head and the feet. Here, the head is clearly higher than the feet.
Recall the definitions of the patient positions listed in the options.
Match your observation (supine, head higher than feet) with the correct term, which is Reverse Trendelenburg position.

Concept Tested & Keywords

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E6 Nursing Fundamentals Taylor p. 211-213

Practise the full NORCET 1 - 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.