ARRT Patient Care Practice Exam

A patient suffering from orthopnea would experience the least discomfort in which body position?

1. Fowler

2. Trendelenburg

3. Recumbent

4. Erect

The correct answer is: Recumbent

A patient suffering from orthopnea, which refers to the difficulty in breathing when lying flat, typically finds relief by sitting up or being in an elevated position. Among the positions listed, the recumbent position would generally exacerbate discomfort, as it does not provide the necessary elevation for the patient's torso. In contrast, the Fowler position, which involves sitting up at an angle, is often recommended for individuals with respiratory issues, including those with orthopnea, as it facilitates better lung expansion and can improve airflow. The upright (or erect) position is similar and can significantly lessen discomfort as well. The Trendelenburg position, where the patient's legs are elevated higher than the head, can actually hinder respiration for someone with orthopnea. Therefore, the least discomfort for a patient experiencing orthopnea would be felt in the recumbent position when compared to more traditional supportive positions. However, it is essential to recognize that while they might feel some discomfort in recumbent, this option does not align with the typical understanding and need for respiratory relief in orthopnea management, as patients generally prefer upright or elevated positions. This makes the correct answer one that identifies the necessary support for the condition.