Auscultation of a child's heart reveals a loud murmur with a precordial thrill. The nurse documents this as which of the following?
A) Grade II
B) Grade III
C) Grade IV
D) Grade V
C
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A grade IV murmur is loud with a precordial thrill. A grade II murmur is soft and easily heard. A grade III murmur is characterized as loud without a thrill. A grade V murmur is characterized as loud, audible without a stethoscope.
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