Mrs. Helms is sitting on the side of the bed, leaning forward, with her arms on the bedside table. What would this indicate to you?

A. Improper positioning does not apply in this case; the position described is often associated with respiratory distress. B. Fatigue or weakness may be present, but the described position is more indicative of difficulty breathing. C. Respiratory distress is suggested by the patient leaning forward, which is a common position for patients with shortness of breath as it helps expand the lungs and ease breathing. D. Increased comfort and relaxation is unlikely; this position is more often associated with discomfort and difficulty breathing.