Question

Auscultation of a child's heart reveals a loud murmur with no thrill. The nurse documents this as:

A) Grade II
B) Grade III
C) Grade IV
D) Grade V

Answer 1

The nurse would document the loud murmur with no thrill as Grade IV.

Step-by-step explanation:

According to the given information, the murmur is loud, but there is no thrill associated with it. Murmurs are graded on a scale of 1 to 6, with 1 being the least serious. Based on this grading system, the nurse would document the loud murmur with no thrill as Grade IV.

It's important to note that the absence of a thrill indicates that the murmur is not associated with a strong vibration or palpable sensation.