A patient with chronic liver disease reports increasing ankle swelling and shortness of breath. Which position should the nurse use while arranging further assessment?
Correct answer: A. Semi-Fowler position with the legs supported
- A. Semi-Fowler position with the legs supported
- B. Supine position with the legs kept flat
- C. Prone position with the abdomen unsupported
- D. Trendelenburg position with the head lowered
Explanation
Semi-Fowler positioning improves lung expansion and supporting the legs may reduce dependent oedema while the patient is assessed. Supine, prone and Trendelenburg positions can worsen breathing or provide no appropriate relief in a patient with fluid overload.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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