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Activities of Daily Living (ADLs)

Mr. Tidewater has had congestive heart failure for years and prefers to sleep with his head elevated. He likes this position because he can:

From CNA Exam Texas Practice Test

Answer choices

  1. A avoid cloudy vision
  2. B breathe easier
  3. C avoid choking
  4. D sleep more soundly

Correct answer: B. breathe easier

Clinical Rationale

breathe easier

Elevating the head while sleeping can help reduce the symptoms of congestive heart failure by improving respiratory function and easing the burden on the heart. This position allows for better lung expansion and reduces the risk of fluid accumulation in the lungs, which can occur when lying flat.

A) avoid cloudy vision

Cloudy vision is typically associated with eye conditions or issues unrelated to sleeping position, such as cataracts or refractive errors. Elevating the head during sleep does not inherently address vision problems; therefore, this choice does not relate to Mr. Tidewater's preference for sleeping with his head elevated.

B) breathe easier

This choice accurately reflects the benefits of sleeping with the head elevated for someone with congestive heart failure. By promoting better lung function and alleviating pressure on the diaphragm, this position can significantly enhance breathing ease, making it a practical choice for managing symptoms.

C) avoid choking

While elevating the head can help reduce the risk of choking, particularly in individuals with swallowing difficulties or gastroesophageal reflux, it is not the primary reason for Mr. Tidewater's choice. His preference is more closely tied to improving his breathing rather than choking prevention.

D) sleep more soundly

Although sleeping in an elevated position may contribute to a more comfortable sleep in some cases, it does not guarantee sounder sleep. The main concern for someone with congestive heart failure is typically related to respiratory function rather than sleep quality itself.

Conclusion

For Mr. Tidewater, sleeping with his head elevated primarily aids in alleviating breathing difficulties associated with congestive heart failure. While other options suggest potential benefits, they do not address the critical concern of respiratory ease. Elevation serves to enhance lung capacity and minimize complications from fluid buildup, making it the most relevant reason for his sleeping preference.

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