What technique should the nurse use to assess the point of maximal impulse (PMI)?
A. With the client in a supine position at a 45-degree angle, compress the upper right abdomen for 30 to 40 seconds and observe for neck vein distention.
B. Measure the blood pressure in both upper arms. The arm with the highest pressure should be used for blood pressure measurement thereafter.
C. Apply the bell of the stethoscope over the skin of the carotid artery while the client holds his or her breath.
D. With the client in the supine position, inspect the chest for prominent precordial pulsations.
D
Examination of the precordium consists of evaluating the PMI. The PMI is located at the left fifth intercostal space in the midclavicular line.
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