Question

You are treating a dialysis patient who has missed the last three treatments. The patient currently presents with​ dyspnea, fluid in the​ lungs, and hypertension. During​ transport, how should the patient be positioned on the​ cot?

A. Sitting upright
B. In a left lateral recumbent position
C. In a right lateral recumbent position
D. Lying supine

Answer 1

In a medical emergency involving a dialysis patient with dyspnea, fluid overload, and hypertension, positioning the patient sitting upright on the cot is most beneficial to alleviate respiratory distress and manage hypertension. the correct option is A. Sitting upright .

Step-by-step explanation:

Dialysis Patient's Positioning During Transport:

For a dialysis patient experiencing dyspnea, fluid overload in the lungs, and hypertension, especially after missing multiple dialysis treatments, the most appropriate position during transport would be A. Sitting upright. This position helps to alleviate breathing difficulties and reduces the stress on the heart and lungs caused by the fluid accumulation. It can also help to lower blood pressure in some cases, which is beneficial for hypertensive patients.

Lateral positions are generally not recommended in this specific scenario as they may not provide significant respiratory relief compared to an upright position. In contrast, the emergency department scenario with a patient arriving with low blood pressure of 70/45, confusion, and thirst indicates the probability of hypovolemic shock due to possible internal or external fluid losses, dehydration, or bleeding.