While performing a cardiovascular assessment on a patient with suspected left sided congestive heart failure,the nurse is unable to palpate the PMI with the patient lying supine.Her next step might be to:

Question

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If palpating the PMI is difficult,turn patient onto the left side.This maneuver moves the heart closer to the chest wall.
Different positions help to clarify the types of sounds heard.Sitting position is best to hear high-pitched murmurs (if present).In the presence of serious heart disease,the PMI will be located to the left of the midclavicular line related to enlarged left ventricle.In chronic lung disease,the PMI is often to the right of the midclavicular line as a result of right ventricular enlargement.

While Performing a Cardiovascular Assessment on a Patient with Suspected