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[Answered]: After a physical examination, the provider…

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After a physical examination, the provider diagnosed a client with a grade 4 heart murmur. During assessment, the nurse expects to hear a murmur that is: Very loud; can be heard with the stethoscope half-way off the chest. Quiet but readily heard. Easily heard with no palpable thrill. Loud and may be associated with a thrill sound similar to (a purring cat).

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