In assessing the carotid arteries of an older patient with cardiovascular disease,the nurse would:

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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.

In Assessing the Carotid Arteries of an Older Patient with Cardiovascular