Oregon Certified Nursing Assistant State Practice Exam

How should a resident with chronic obstructive pulmonary disease (COPD) be positioned for optimal breathing?

1. Flat on his back

2. Sitting upright

3. Lying on his stomach

4. Lying on his side

The correct answer is: Sitting upright

A resident with chronic obstructive pulmonary disease (COPD) should be positioned sitting upright to promote optimal breathing. This position allows for maximum lung expansion and helps facilitate better airflow. When sitting upright, the diaphragm has more space to move down during inhalation, which aids in improving oxygenation and reduces the work of breathing. In contrast, lying flat on the back can place pressure on the lungs and diaphragm, making it more challenging for individuals with COPD to breathe effectively. Lying on the stomach is typically not an option for individuals with respiratory issues since it can hinder airflow and make breathing more laborious. While lying on the side may provide some comfort and relief for certain patients, it does not provide the same level of lung expansion and ease of breath that an upright position does. Therefore, sitting upright is the most beneficial position for someone with COPD.