A client with severe chronic obstructive pulmonary disease reports acute shortness of breath and exhaustion while trying to rest. The individual is currently in a semi-Fowler's position but continues to use accessory muscles to breathe. Which action should the nurse take to improve respiratory comfort?
- Assist the client to sit on the edge of the bed while leaning forward and resting their arms on an overbed tableAnswer
- BLower the head of the bed to a flat position and instruct the client to focus on slow, deep breathing
- CInstruct the unlicensed assistive personnel to immediately transfer the client to a bedside recliner chair
- DElevate the foot of the bed and place a supportive pillow directly underneath the client's knees
Answer
Assist the client to sit on the edge of the bed while leaning forward and resting their arms on an overbed table.
The orthopneic position, achieved by having the client sit on the edge of the bed and lean forward over an overbed table, allows maximum expansion of the chest. This posture presses the lower part of the chest against the table and uses the upper body weight to assist the accessory muscles of respiration, significantly improving respiratory comfort and efficiency for clients with severe chronic obstructive pulmonary disease.
Step-by-Step Solution
Key Concept
Positioning to promote respiratory comfort and lung expansion (Orthopneic position)