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Assessing for bruits
Long-Term Care Nursing Advisor, September 21, 2007
To assess the carotid artery for a bruit, you should:
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. Ausculate 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 suggest vessel narrowing.
8. Inform the physician of your findings and take other appropriate nursing actions.
9. Document your findings.
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