Question

The nurse is caring for a client after a supratentorial craniotomy in which a large tumor was removed from the left side. Choose the positions in which the nurse can safely place the client. Select all that apply.

1. On the left side
2. With the neck flexed
3. Supine on the left side
4. With extreme hip flexion
5. In a semi-Fowler's position
6. With the head in a midline position

Answer 1

Safe positions for a client after a supratentorial craniotomy include being on the left side, supine on the left side, in a semi-Fowler's position, and with the head in a midline position. Neck flexion and extreme hip flexion should be avoided.

Step-by-step explanation:

The positions in which the nurse can safely place a client after a supratentorial craniotomy for the removal of a large tumor from the left side are limited due to the need to prevent pressure on the surgical site and to ensure proper drainage and healing. The safe positions include:

• On the left side
• Supine on the left side
• In a semi-Fowler's position
• With the head in a midline position

Positioning the client with the neck flexed or with extreme hip flexion is not recommended because these positions can increase intracranial pressure or interfere with venous drainage. It's important to remember that patient positioning is crucial for recovery, and instructions from the surgical team should always be followed.