30. Turn the screw to close it. Inflate the cuff until the dial points to 30 mm above the palpated to pressure 31. Place the stethoscope's earpieces into your ears and place the diaphragm on the brachial pulse. 32. Find your client's brachial puise at the inside of the elbow. Hold the diaphragm there and inflate the cuff until the pulse disappears. Take note of the reading and immediately deflate the cuff. This is the client's approximate systolic reading and is called the palpated systolic pressure, 33. Wrap the cuff around your client's arm above the elbow, not too tight or too loose, 34. Unroll the cuff, loosen the screw and squeeze the cuff with your hands to remove air completely 35. Expose the arm of your client by rolling the sleeves up. Have your client's arm from the elbow down to rest fully extended on the bed or the arm of a chair, 36. If you are using a mercurial apparatus, the measuring scale should be within the level of your eyes 37. Ask your client to rest quietly. Have him/her lie down or sit on a chair whichever is more comfortable for him/her. 38. Sanitize the earpieces of the stethoscope with an antiseptic pad. 39. Introduce yourself and let the patient/client know the procedure to be done. 40. Wash your hands and prepare the equipment you will use.

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