California Certified Nursing Assistant (CNA) Practice Exam

In what position can a client with asthma find relief from dyspnea?

1. Sitting at a 45° angle

2. Sitting up and leaning over a table with a pillow

3. Lying flat on their back

4. Sitting and hyper-extending the neck

The correct answer is: Sitting up and leaning over a table with a pillow

A client with asthma often experiences difficulty breathing, known as dyspnea. Finding a comfortable position can be crucial in alleviating this symptom. When a client sits up and leans over a table with a pillow, it allows for optimal lung expansion. This position facilitates the use of gravity to help open the chest and improve airflow, making it easier for the client to breathe. Leaning forward can also engage the accessory muscles of respiration, which may assist in breathing during an asthma attack. By providing support with a pillow, the client can rest and focus on their breathing without straining. The other positions do not offer the same level of relief. For instance, sitting at a 45° angle offers some elevation but may not provide the same level of openness as leaning forward. Lying flat on their back can compress the lungs, making it more difficult to breathe effectively. Sitting and hyper-extending the neck might lead to discomfort and potentially restrict airflow, which is not ideal for someone experiencing breathing difficulties.