A patient admitted to the telemetry unit with heart failure is exhibiting signs and symptoms of pulmonary edema. The nurse is aware that positioning will promote circulation. The nurse will position the patient:
A) In an upright position in bed or with the legs dangling over the side of the bed
B) On his left side in a supine position
C) In a supine position on his back
D) In a Trendelenburg position
Ans: A
Feedback: Proper positioning can help reduce venous return to the heart. The patient is positioned upright, preferably with the legs dangling over the side of the bed. If the patient is unable to sit with the lower extremities dependent, the patient may be placed in an upright position in bed. The supine position and Trendelenburg positions will not reduce venous return, lower the output of the right ventricle, or decrease lung congestion.
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