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A nursing assistant reports a blood pressure to be 70/49 with a heart rate of 126. What position would be most appropriate for the nurse to use with this patient?

a) Semi-Fowler's
b) Sims'
c) Lithotomy
d) Trendelenburg

1 Answer

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Final Answer:

The blood pressure reading of 70/49 and a heart rate of 126 indicate a critically low blood pressure with a high heart rate, suggesting a state of shock.Thus, the correct option is d) Trendelenburg.

Step-by-step explanation:

In such cases, the Trendelenburg position is the most appropriate. This position involves placing the patient flat on their back with the lower body elevated higher than the head. The rationale behind this is to promote venous return to the heart, increasing cardiac output and blood flow to vital organs.

The blood pressure reading provides two key values: systolic (70) and diastolic (49). The systolic pressure represents the force of blood against the artery walls when the heart contracts, while the diastolic pressure represents the force when the heart is at rest. In a normal blood pressure reading, these values are around 120/80 mmHg.

A reading of 70/49 indicates hypotension, a dangerously low blood pressure that requires immediate intervention. The elevated heart rate of 126 is the body's compensatory mechanism to maintain sufficient blood flow. Placing the patient in the Trendelenburg position helps improve blood circulation and perfusion to vital organs, aiding in the stabilization of the patient's condition.

In summary, the Trendelenburg position is chosen to address the critical hypotension and elevated heart rate observed in the patient. This position aids in improving blood flow and perfusion to vital organs, playing a crucial role in the initial management of shock.

Therefore, the correct option is d) Trendelenburg.

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