Image from page 151 of "First-year nursing : a text-book for pupils during their first year of hospital work" (1916)
Contributing Library: U.S. National Library of Medicine
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Fig. 29.—Sims posture, posterior view.—(American Illustrated MedicalDictionary.) Rectal Examination.—Before a rectal examination,the bowel should be emptied by one or more enemata,even though there has been a thorough movement.The object is to have the rectum as clean as it can bemade, so that its exact condition can be seen. The genu-pectoral (knee-chest) position is usuallyused for rectal examinations. The Sims position isalso used. The patient lies upon her face, the kneesbent under the abdomen, so that the weight comes on 144 FIRST YEAR NURSING them and on the chest; this elevates the hips. Use twosheets for covering, so as to have as little exposure aspossible. This position is also used in bladder andvaginal examinations and treatments. A proctoscope (rectal speculum) is usually used, andsome clean oil or vaseline will be needed to lubricate it.There should be a supply of small cotton sponges, anda basin for receiving them when soiled. Provide one or
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Fig. 30.—Knee-chest or genu-peetoral position. two rubber finger cots in case a manual examination isdesired. WARD DRESSINGS The preparation for and assisting with surgical dress-ings call for great exactness, attention to detail, andgood technic. Good work is appreciated by the doctorwho does the dressing, and by the patient whose comfortis involved; on the other hand, it is extremely annoyingto a busy doctor or a nervous patient to find sonicimportant thing forgotten, articles too hot or too cold touse, wrong solution, etc. It is true that a nurse cannot always know beforehandevery item which may be asked lor in a dressing, as a WARD DRESSINGS 145 condition may have arisen since the last dressing whichrequires different treatment, or the surgeon may havedecided upon a change in method. The nurse should
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