The nurse is caring for a client in respiratory distress. Which bed position is the most appropriate for this client?

1. Semi-Fowler's position
2. Trendelenburg position
3. Flat position
4. Fowler's position


Correct Answer: 4

The client with respiratory distress will breathe more easily if the bed is placed in the Fowler's position, because it reduces the compression of the abdominal contents into the stomach and allows for full lung expansion. Semi-Fowler's position is the best choice if Fowler's position is not possible due to the client's condition, but is not as good as Fowler's because it still allows some intrusion of abdominal contents into the diaphragm and limits full excursion. Trendelenburg position would be contraindicated because this causes abdominal organs to press into the diaphragm. Flat is also contraindicated, and will increase the client's respiratory distress.

Nursing

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