When planning care for a child who experiences anaphylactic shock, which of the following positions would be the most appropriate to obtain the best outcome for the child?
1. Trendelenburg position
2. High Fowler's position
3. Reverse Trendelenburg position
4. Flat, with legs slightly elevated
4. Flat, with legs slightly elevated
Rationale:
A client experiencing shock should lie flat with slightly elevated legs. This allows for the blood pressure to be maintained during this critical time. The Trendelenburg position elevate sthe head of the bed and will not be effective to maintain blood pressure when shock is occurring. It is no longer recommended for the treatment of shock as it causes abdominal organs to press against the diaphragm, which impedes respirations and decreases coronary artery filling. Both the high Fowler's and reverse Trendelenburg positions elevate the head of the bed and will not be effective to maintain blood pressure when shock is occurring.
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