The nurse is preparing to administer procainamide (Pronestyl) intravenously for conversion of atrial flutter. How should the nurse position the client?
1. In Trendelenburg position
2. Prone
3. Supine
4. With the head of the bed elevated
Correct Answer: 3
Rationale 1: The Trendelenburg position would be used in the event of a hypotensive episode.
Rationale 2: The prone position is not used because it inhibits access to the airway.
Rationale 3: The supine position should be maintained with IV infusion of Pronestyl due to the increased risk of hypotension.
Rationale 4: The head of the bed should not be elevated due to risk of hypotension with IV infusion of Pronestyl.
Global Rationale: The supine position should be maintained with IV infusion of Pronestyl due to the increased risk of hypotension. The Trendelenburg position would be used in the event of a hypotensive episode. The prone position is not used because it inhibits access to the airway. The head of the bed should not be elevated due to risk of hypotension with IV infusion of Pronestyl.
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