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What are the procedural steps the nurse should perform when assessing a client's carotid arteries?Ask client to hold breath for a few heartbeats, while auscultating for bruits. If difficult to assess, massage vigorously and palpate deeply into the skin folds of the neck. Help the client to a sitting position and inspect both sides of neck for arterial pulsations. Use the index and middle fingers to palpate around the medial edge of the sternocleidomastoid muscle. Palpate both arteries simultaneously, to make a comparison of the rate, rhythm, strength and elasticity.

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