A nurse cares for a client who has advanced cardiac disease and states, "I am having trouble sleeping at night." How should the nurse respond?
a. "I will consult the provider to prescribe a sleep study to determine the problem."
b. "You become hypoxic while sleeping; oxygen therapy via nasal cannula will help."
c. "A continuous positive airway pressure, or CPAP, breathing mask will help you breathe at night."
d. "Use pillows to elevate your head and chest while you are sleeping."
ANS: D
The client is experiencing orthopnea (shortness of breath while lying flat). The nurse should teach the client to elevate the head and chest with pillows or sleep in a recliner. A sleep study is not necessary to diagnose this client. Oxygen and CPAP will not help a client with orthopnea.
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