You are auscultating a patient's heart during a routine physical examination. You should position the patient
a. in a flat, supine position or a sitting position.
b. in the left lateral position.
c. leaning forward slightly.
d. on his back with the bed raised 45°.
A
During a routine physical examination, the patient should be positioned flat, supine, or sitting for you to auscultate the heart. For a more thorough auscultation of the heart, the patient may need to be in positions other than flat, supine, or sitting. The murmur of mitral stenosis and S1 and S2 sometimes can be heard only when the patient is on the left side. Murmur of aortic regurgitation can sometimes be heard only when the patient is leaning forward in the sitting position. The patient would not be on his back with the bed raised 45° for auscultation of the heart.
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