A client's record contains a notation that the client is orthopneic. Which question by the nurse would obtain the most useful information?
a. "About how far can you walk before it occurs?"
b. "Does anyone else in your family have this too?"
c. "How many pillows do you need to sleep on?"
d. "When did you first notice this problem?"
C
Orthopnea is difficulty in breathing except when sitting erect or when standing. When the person lies down there is an increase in pulmonary venous and capillary pressure in the lungs, leading to cough and dyspnea. Orthopnea generally indicates a serious cardiac problem, and quantifying the distress helps the nurse gauge the degree the client is compromised. People with orthopnea try various things to be able to sleep including sleeping in recliners and increasing the number of pillows used.
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