The most appropriate method to use to assess for a carotid artery for the presence of a bruit is to:
1. Palpate each artery lightly; first the right side and then the left
2. Have the client turn the head toward the side being auscultated
3. Place the bell of the stethoscope over artery near outer edge of the clavicle
4. Have the client hold the breath while auscultating with the stethoscope bell
ANS: 3
Place the bell of the stethoscope over the carotid artery at the lateral end of the clavicle and the posterior margin of the sternocleidomastoid muscle. Have the client turn the head slightly away from the side being examined. Ask the client to hold the breath for a moment so that breath sounds do not obscure a bruit. Normally you do not hear any sounds during carotid auscultation. Palpate the artery lightly for a thrill (palpable bruit) if you hear a bruit.
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