A 39-Year-Old,248-Lb Mother of Four Children Is Assisted with Transfer

question 20

Multiple Choice

A 39-year-old,248-lb mother of four children is assisted with transfer from a transport vehicle to the OR bed for laparoscopic cholecystectomy,operative cholangiogram,and possible CBD exploration.The perioperative nurse identifies that the patient is at risk for positional injury related to her size and the positional requirements and OR bed manipulations required for this procedure.An appropriate nursing implementation for positioning this patient would be to:

• A) place two safety belts over the thighs and lower legs to prevent the patient from sliding out of position when the surgeon tilts the table for better exposure and access.
• B) place a positioning lift under the lower left side of the chest to elevate the lower rib cage for exposure and access to the viscera in the left upper quadrant of the abdomen.
• C) abduct the patient's right arm on an arm board at less than 90 degrees to allow an assistant to stand near the patient's right upper quadrant and retract the liver with a wide Deaver retractor.
• D) place the patient on a radiolucent OR bed and place a positioning lift under the lower right side of the chest to elevate the lower rib cage for exposure and access to the viscera in the right upper quadrant.

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