If a low-pitched murmur is suspected with prior assessment, which of the following is the best position for the patient when the nurse auscultates the apical site?
a. Sitting up
b. Standing
c. Lying on the left side
d. Dorsal recumbent
C
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A Having the patient sitting upright is used for assessing lung expansion and symmetry of the upper extremities.
B Having the patient standing is not the best position for auscultating a heart murmur.
C Positioning the patient onto the left side brings the heart closer to the chest wall.
D The dorsal recumbent position is best used for abdominal assessment.
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