HESI Health Assessment WGU d344 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. Pulse volume is not the same as the presence of a bruit, which is an abnormal sound heard over an artery. B. A bruit is an abnormal, blowing, or swishing sound heard over an artery, indicating turbulent blood flow, often due to atherosclerosis or narrowing of the artery. Documenting the presence of a bruit on the left and its absence on the right is the correct approach. C. A strong pulse does not necessarily correlate with the presence of a bruit, and the absence of sound on the right does not confirm occlusion. D. Occlusion of the artery cannot be confirmed solely based on the absence of a bruit; further diagnostic testing would be required.
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