The nurse is auscultating the carotid arteries of an elderly client and notes a bruit over the left carotid artery. Which of the following should the nurse do with this assessment finding?
1. Notify the physician
2. Document the findings as normal
3. Auscultate the heart for murmurs
1. Examine for jugular vein distention
3. Auscultate the heart for murmurs
Rationale:
Bruits are abnormal signs of carotid stenosis and may signal an impending stroke. If a bruit is heard, auscultation of the aortic and pulmonic valves of the heart should be done to examine for murmurs that may be radiating into the neck. This additional assessment should be performed before any notification of the physician is done. Assessment of jugular vein distention is not relevant at this time.
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