Hesi rn health assessment proctored exam
In assessing a client's neck, the nurse hears a blowing swish when auscultating the area over the left carotid artery, but hears no sound over the right carotid artery. How should the nurse document this finding?
Explanation & Rationale
A. Left carotid artery occlusion present; no occlusion of right carotid artery. A bruit suggests turbulent blood flow, which may indicate partial occlusion or narrowing, not necessarily a complete occlusion. B. Left carotid artery has strong pulse; right carotid artery occluded. This documentation is incorrect as the nurse did not assess pulse volume but rather auscultated for bruits. C. Left carotid pulse volume of 4+; right carotid pulse volume of 0. This statement is incorrect as it documents pulse volumes, which were not assessed by auscultation for bruits. D. Left carotid artery bruit present; no bruit heard in right carotid artery. This is the correct documentation of the auscultation findings.
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