A 5-year-old child is having an acute asthma attack. How does the nurse position the child while waiting for a respiratory treatment?
A.
Prone across the parent's lap
B.
Semi-Fowler's position in bed
C.
Upright in a hard-backed chair
D.
Upright in the tripod position
ANS: D
Tripod positioning is often seen in children with respiratory distress. In this position the child sits upright leaning forward on outstretched arms with the jaw thrust forward. This position maximizes airway opening and use of accessory muscles. The nurse can assist the child into this position. The other positions will not be as helpful. However, it is important to note that because children having respiratory distress are often anxious, it is important to allow the child to assume the position in which he or she is most comfortable.
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