A client diagnosed with left-sided cardiac failure would be most comfortable in which sleeping position?
1. Lying on either side with the head of the bed elevated 30°
2. Seated in a recliner with 2–3 pillows under head
3. Lying on the left side with the head of the bed elevated 30°
4. Seated in a recliner with 2–3 pillow under feet
4. Seated in a recliner with 2-3 pillows under head
Rationale:
The client with left-sided cardiac failure could develop orthopnea. This is a result of the pulmonary congestion and decreased cardiac output. Being in an upright position will ease the work of breathing. Side-lying positions will not help alleviate or prevent the development of orthopnea. Propping the lower legs up while in a sitting position can help decrease dependent edema, but 2–3 pillows are not needed for sleep.
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