In which of the following positions should a patient with an altered level of consciousness...

Comprehensive and Detailed Explanation (Based on NREMT standards):

Patients with an altered level of consciousness are at increased risk of airway compromise due to loss of protective reflexes. NREMT guidelines stress the importance of airway protection during transport.

The left lateral recumbent position (recovery position) is preferred because it allows secretions, vomitus, or blood to drain from the mouth, reducing the risk of aspiration. This position also helps maintain airway patency without requiring invasive airway devices.

Option A may be appropriate for respiratory distress but does not adequately protect the airway in patients with decreased consciousness.

Option C is unsafe because the patient cannot maintain posture or airway control.

Option D increases aspiration risk unless spinal precautions are required.

NREMT teaches that airway protection is the priority when transporting patients with altered mental status.