You are the nurse caring for a client with shock accompanied by lung congestion. How would you position this client?
A) Completely supine
B) Low Fowler's with legs flat
C) Supine with lower extremities raised to approximately 45º
D) Semi-Fowler's with lower extremities raised to approximately 15º
D
Feedback:
For a client with shock accompanied by lung congestion, the nurse should raise the client's upper body to approximately 45º and lower extremities to approximately 15º. Elevating the upper body lowers the diaphragm and provides more room for lung expansion and gas exchange. Elevating the head reduces intracranial pressure. Elevating the legs promotes blood perfusion to the heart, lungs, and brain. Therefore, options A, B, and C are incorrect.
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