The nurse is caring for a child who experiences an anaphylactic shock reaction. Which of the following positions would be the most appropriate in which to place this child?
1. Trendelenburg position
2. high Fowler's position
3. reverse Trendelenburg position
4. Flat, with legs slightly elevated
4
Rationale:
1. The Trendelenburg position has the head of the bed elevated, and will not be effective to maintain a 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.
2. The high Fowler's position has the head of the bed elevated, and will not be effective to maintain a blood pressure when shock is occurring.
3. The reverse Trendelenburg position has the head of the bed elevated, and will not be effective to maintain a blood pressure when shock is occurring.
4. Flat, with legs slightly elevated, is the position that is used for a client experiencing shock. This allows for the blood pressure to be maintained during this critical time.
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