The nurse notes a small pulsation at the fifth intercostal space midclavicular line.This should be documented as a:

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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.

The Nurse Notes a Small Pulsation at the Fifth Intercostal