Problem: A 52-year-old patient is admitted with complaints of fatigue and shortness of breath on exertion. During a focused cardiac assessment, the nurse observes a forceful outward movement along the left sternal border. Vital signs are: BP: 146/88 mm Hg HR: 110 bpm, irregular RR: 22/min SpO2: 92% on room air Which condition does this finding most likely suggest? Need Assignment Help? Group of answer choices Systolic ejection murmur Normal cardiac impulse Left ventricular hypertrophy Right ventricular hypertrophy