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Question 14: On admission, the client has signs and symptoms of pulmonary edema. The nurse places the
client in the most appropriate position for a client in pulmonary edema, which is:
A. High Fowler
B. Lying on the left side
C. Sitting in a chair
D. Supine with feet elevated
Correct Answer: A
Explanation:
(A) High Fowler position decreases venous return to the heart and permits greater lung expansion so
that oxygenation is maximized. (B) Lying on the left side may improve perfusion to the left lung but
does not promote lung expansion. (C) Sitting in a chair will decrease venous return and promote
maximal lung expansion. However, clients with pulmonary edema can deteriorate quickly and require
intubation and mechanical ventilation. If a client is sitting in achair when this deterioration happens,
it will be difficult to intervene quickly. (D) The supine with feet elevated position increases venous
return and will worsen pulmonary edema.
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