The most appropriate method to use to assess 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 towards the side being auscultated
3. Place the bell of the stethoscope over the artery near the 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.
You might also like to view...
The nurse has recently set limits for a patient with borderline personality disorder. The patient tells the nurse, "You used to care about me. I thought you were wonderful. Now I can see I was mistaken. You're hateful."
Which phenomenon is represented by this response? a. Splitting b. Denial c. Reaction formation d. Projection
The nurse is considering enrolling in an online program to achieve a baccalaureate degree in nursing. What should the nurse consider as an advantage of taking the program online? Select all that apply.
A) Easy B) Flexible C) Consistent D) Convenient E) Cost effective
When the nurse and patient speak different languages, interpreters are often used to facilitate communication. Suggested interpreters include all EXCEPT which of the following?
1. telephone interpreter service 2. client's family or friend 3. bilingual staff 4. volunteer staff or community interpreters
Which client statement would demonstrate a common characteristic of Cluster "B" personality disorder?
A. "I wish someone would make that decision for me." B. "I built this building by using materials from outer space." C. "I'm afraid to go to group because it is crowded with people." D. "I didn't have the money for the ring, so I just took it."