The nurse is caring for a client experiencing dyspnea. In which position should the nurse place this client?

Question

1. High Fowler's position with two pillows behind the head
2. Orthopneic position across the overbed table
3. Prone position with knees flexed and arms extended
4. Sims position with both legs flexed

Answer 1

Correct Answer: 2
Rationale 1: The high Fowler's position should not be used with more than one pillow or with overly large pillows.
Rationale 2: The orthopneic position across the overbed table facilitates respiration by allowing maximum chest expansion.
Rationale 3: The prone position places the client on the abdomen and makes chest expansion difficult.
Rationale 4: The Sims position is a side-lying position and does not support full chest expansion as much as the orthopneic position.