Oregon Certified Nursing Assistant State Practice Exam

Which position should a resident be placed in if they are experiencing difficulty breathing?

1. Supine

2. Sitting upright

3. Prone

4. On their side

The correct answer is: Sitting upright

When a resident is experiencing difficulty breathing, placing them in a sitting upright position is the most effective choice. This posture allows for maximum lung expansion and helps reduce pressure on the diaphragm, which is essential to facilitate easier breathing. Sitting upright also aids gravity in helping open the airways, making it more comfortable for the resident and promoting better oxygenation. In contrast, being in a supine position (lying flat on the back) can constrict the chest and abdomen, hindering lung expansion. The prone position (lying on the stomach) is typically not utilized for individuals having trouble breathing, as it may obstruct airflow. Having the individual on their side can sometimes be helpful, but it is generally not as effective as sitting upright for immediate relief in cases of respiratory distress. Thus, the sitting upright position is the most appropriate and beneficial in managing difficulty breathing.