The nurse notes a small pulsation at the fifth intercostal space midclavicular line. This should be documented as a:
a. Thrill
b. Murmur
c. Normal finding
d. Heave
C
A small pulsation at the fifth intercostal space midclavicular line is known as the point of maximal impulse (PMI) and is considered a normal finding. A thrill is a vibration or pulsation palpated in any area except the PMI. A murmur occurs when structural defects in the heart's chambers or valves cause turbulent blood flow. A heave, which is a visible palpation, is associated with an enlarged ventricle.
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