In a patient with hypovolemic shock, which position should be avoided?

• A. Supine with legs elevated
• B. High Fowler's
• C. Trendelenburg
• D. Semi-Fowler's

Answer: (B)

In hypovolemic shock the goal is to maximize venous return to improve preload and cardiac output. Elevating the head and torso to a high Fowler’s position reduces venous return from the lower body, which can worsen hypotension and tissue perfusion. Keeping the patient flat or with legs elevated helps promote central blood return while fluids are given. While other positions like Trendelenburg have historical use, they carry risks (such as respiratory compromise and increased intracranial pressure) and are not routinely used. So, placing the patient in a high Fowler’s position should be avoided because it hinders the circulatory support you’re trying to establish.