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Assessing for bruits
Long-Term Care Nursing Advisor, January 25, 2008
To assess the carotid artery for a bruit, you should do the following:
1. Gently locate the artery on one side of the neck.
2. Palpate the artery. Determine whether a thrill or slight vibration is present.
3. Place the stethoscope over the carotid artery, beginning at the jaw line.
4. Ask the resident to hold his or her breath.
5. Lightly press the diaphragm. Auscultate while moving down the length of the artery to the clavicle.
6. Repeat on the other side.
7. Note that if you feel vibration or hear a swishing sound, this suggests vessel narrowing.
8. Inform the physician of your findings and take other appropriate nursing action.
9. Document your findings.
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