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Question
the nurse observes a colleague palpating the carotid arteries on an older adult client who was admitted to the unit in a hypertensive crisis. what action by the colleague concerns the nurse? answers: a - d a asks the client to look ahead during the palpation. b palpates both carotids together. c applies gentle pressure to the carotids. d palpates one carotid first, then the other.
Palpating both carotid arteries together in a client with hypertension or in an older - adult can reduce blood supply to the brain and cause syncope or a stroke. It is a dangerous practice. Asking the client to look ahead is a normal part of the procedure. Applying gentle pressure is appropriate. Palpating one carotid at a time is the correct way to perform the assessment.
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B. Palpates both carotids together.