A nurse is conducting a health history for a client with a chronic respiratory problem. What question might the nurse ask to assess for orthopnea?
A) "Do you have problems breathing when you walk up stairs?"
B) "Does your medication help you breathe better?"
C) "How many pillows do you sleep on at night to breathe better?"
D) "Tell me about your breathing difficulties since you stopped smoking."
Ans: C
People with difficulty breathing can often breathe more easily in an upright position, a condition known as orthopnea. While sitting or standing, gravity lowers organs in the abdominal cavity away from the diaphragm, giving more room for the lungs to expand. People with orthopnea characteristically use many pillows during sleep to accomplish this.
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