CCRN Critical Care Nursing

Category - Pediatrics

A client with tetralogy fallot will become cyanotic and dyspneic after crying. To relieve this clinical manifestation, the nurse should place the infant in what position?
  1. Sitting position
  2. Modified trendelenburg position
  3. Knee chest position
  4. Lateral Sim’s position
Explanation
Answer: C - Knee chest position is done by flexing the hips and knees. This way, there will be a decrease venous return to the heart from the legs; as a result, cardiac workload is decreased. Assuming a sitting position does reduce pressure of the abdominal organs on the diaphragm but does not put enough pressure on the femoral vein and vena cava to sufficiently reduce venous return to the heart.
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