During an assessment of a 68-year-old man with a recent onset of ...

[oliviahorn72]

During an assessment of a 68-year-old man with a recent onset of right-sided weakness, the nurse hears a blowing, swishing sound with the bell of the stethoscope over the left carotid artery. This finding would indicate:
 
  a. Valvular disorder.
  b. Blood flow turbulence.
  c. Fluid volume overload.
  d. Ventricular hypertrophy.

Question 2

In assessing the carotid arteries of an older patient with cardiovascular disease, the nurse would:
 
  a. Palpate the artery in the upper one third of the neck.
  b. Listen with the bell of the stethoscope to assess for bruits.
  c. Simultaneously palpate both arteries to compare amplitude.
  d. Instruct the patient to take slow deep breaths during auscultation.

[jxjsniuniu]

Answer to Question 1

ANS: B
A bruit is a blowing, swishing sound indicating blood flow turbulence; normally, none is present.

Answer to Question 2

ANS: B
If cardiovascular disease is suspected, then the nurse should auscultate each carotid artery for the presence of a bruit. The nurse should avoid compressing the artery, which could create an artificial bruit and compromise circulation if the carotid artery is already narrowed by atherosclerosis. Excessive pressure on the carotid sinus area high in the neck should be avoided, and excessive vagal stimulation could slow down the heart rate, especially in older adults. Palpating only one carotid artery at a time will avoid compromising arterial blood to the brain.

[oliviahorn72]

Excellent

[dreamfighter72]

Gracias!