A patient reports shortness of breath after lying down, which caused a feeling of suffocation. How should the nurse document this finding?
a. Orthopnea
b. Exertional dyspnea
c. Activity-induced dyspnea
d. Paroxysmal nocturnal dyspnea
ANS: D
Paroxysmal nocturnal dyspnea is sudden shortness of breath after lying flat for a time, due to excess fluid accumulation in the lungs from fluid returning to the heart after gravity affects are released from the legs. The sleeping person awakens with feelings of suffocation. Relief is obtained by sitting upright for a short time. A. B. C. These terms do not describe the patient's symptoms.
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