When palpating the carotid artery, which of the following is most important? (Select all that apply.)

a. Rotate the patient's head to the side being examined to relax the sternocleidomasto-id.
b. Excessive carotid sinus massage can compromise blood flow to the brain.
c. Excessive carotid sinus massage can cause slowing of the pulse.
d. Palpate both sides simultaneously.


A, B, C
When palpating the carotid arteries, never palpate both sides simultaneously. Excessive carotid sinus massage can cause slowing of the pulse and a drop in blood pressure and can compromise blood flow to the brain, leading to syncope. If you have difficulty feeling the pulse, rotate the patient's head to the side being examined to relax the sternocleidomastoid muscle.

Nursing

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