A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds. Which of the following actions should the nurse take?

A. Deflate the cuff quickly: Rapid deflation can result in missing the systolic and diastolic readings entirely, making the measurement inaccurate. B. Place the arm above the level of the client’s heart: Elevating the arm above heart level can lead to falsely low blood pressure readings due to decreased perfusion. C. Use the palpatory method to determine blood pressure: When auscultation is difficult, the palpatory method helps estimate the systolic pressure by palpating the radial pulse, guiding appropriate inflation for subsequent attempts. D. Apply the largest cuff available: Using an improperly sized cuff, especially one that is too large, can yield inaccurate readings; the cuff size should be appropriate to the client’s arm circumference.