What is a critical perioperative nursing diagnosis related to patient positioning?

• A. Risk for infection
• B. Risk for perioperative positioning injury
• C. Risk for fluid imbalance
• D. Risk for surgical site complications

Answer: (B)

The critical perioperative nursing diagnosis related to patient positioning is the risk for perioperative positioning injury. This diagnosis is vital because the way a patient is positioned during surgery can significantly impact their safety and comfort. Improper positioning can lead to complications such as pressure ulcers, nerve damage, and musculoskeletal injuries.

During the perioperative phase, maintaining proper alignment and pressure distribution is essential to prevent injuries that arise from extended periods in a single position or from the use of equipment like pads and straps. Nurses must assess the patient's physical condition, the type of surgery being performed, and the duration of the procedure to determine the safest positioning strategy. By addressing this diagnosis proactively, nursing staff can implement measures such as repositioning the patient, using supportive devices, and monitoring for signs of injury, ultimately enhancing patient outcomes in the surgical setting.

This emphasis on positioning distinguishes it from the other diagnoses, which may not directly relate to the positioning process but instead address broader concerns about infection, fluid balance, and surgical complications that may not be solely linked to how a patient is positioned during the procedure.