A nurse is educating a diabetic pt on preventing foot complications Which pt statement indicates a need for further info

I should use lotion between my toes to keep my feet moisturized

A nurse is performing a Braden Scale assessment. What factor does this scale measure?

Risk for developing pressure ulcers

A nurse is caring for an elderly patient with hearing impairment. Which strategy is most effective for communication?

Position yourself directly in front of the patient

A nurse is educating a pt abt using hot & cold therapy for pain. Which statement by the pt indicates understanding?

I should apply cold therapy for 15-20 minutes at a time

A nurse is assessing an elderly pt with sensory impairment. Which intervention is most effective in reducing confusion?

Minimize background noise and dim the lights slightly

A nurse is assisting a patient with crutches using a three-point gait. Which statement correctly describes this gait?

Pt moves both crutches and the aff leg forward, then moves the unaff leg.

A patient with immobility is at risk for deep vein thrombosis (DVT). What is the most appropriate intervention?

Encourage ankle flexion and extension exercises

A nurse is caring for a patient with decreased mobility. Which intervention helps prevent contractures?

Performing passive or active range-of-motion exercises

A nurse is teaching a patient about preventing pressure ulcers. Which statement by the patient indicates understanding?

I will eat foods high in protein to promote skin healing

A patient is being treated for an immobility-related complication. Which finding is most concerning?

Reddened area on the sacrum that does not blanch

A nurse is teaching a patient how to use a cane. Which instruction is correct?

Hold the cane on your stronger side and move it forward first

A nurse is giving fall prevention education to a pt at risk for falls Which statement indicates a need for further info?

I should wear socks when walking around my house

A patient receiving oxygen therapy via nasal cannula reports nasal dryness. What should the nurse do?

Apply a water-based lubricant to the nostrils

A nurse is providing oral care to an unconscious patient. What is the priority action?

Use a padded tongue blade to keep the mouth open

A nurse is assessing a patient who had a stroke. Which finding suggests difficulty swallowing (dysphagia)?

Patient coughs while drinking water

A nurse is preparing to lift a heavy patient from bed to wheelchair. Which action demonstrates proper body mechanics?

Keep the back straight and lift with the legs

A nurse is explaining the concept of SMART goals to a patient. Which statement best represents a SMART goal?

I will walk for 10 minutes every morning for the next week

A patient is admitted with suspected pneumonia. Which symptom is most concerning to the nurse?

Respiratory rate of 30 breaths per minute

A nurse is caring for a visually impaired patient. Which action is appropriate when communicating with the patient?

Describe the environment using a clock-face reference

A nurse is caring for an elderly patient at risk for sensory overload. Which intervention would best reduce confusion?

Turn off the television and minimize alarms

A nurse is caring for a patient with orthostatic hypotension. What is the best intervention?

Instruct the patient to dangle their legs before standing

A nurse is assessing a patient for signs of deep vein thrombosis (DVT). Which finding is most concerning?

Redness, warmth, and unilateral leg swelling

A nurse is providing discharge info for a pt rx'd a blood thinner. Which statement by the patient requires further tea

I will take aspirin if I have a headache

A patient is in Trendelenburg position. Which description correctly defines this position?

The patient is lying supine with the head lower than the feet

A pt on blood transfusion suddenly develops chills, fever, and lower back pain. What is the nurse's priority action?

Stop the transfusion immediately

A nurse is caring for a patient with an airborne infection. Which personal protective equipment (PPE) is required?

N-95 mask, gown, gloves, and face shield or goggles

A patient is being discharged with a prescription for opioid pain medication. What is the most important teaching point?

Increase fluid and fiber intake to prevent constipation

A nurse is assessing a patient for signs of pain. Which finding suggests the patient is experiencing pain?

Grimacing and guarding the affected area

A nurse is educating a pt with HTN about dietary changes. Which statement by the pt indicates understanding?

I will follow the DASH diet and limit processed foods

A nurse is providing hygiene care to a bariatric patient. Which intervention is most important?

Clean and dry all skin folds thoroughly

A nurse is teaching a patient about proper denture care. Which statement indicates the patient understands the teaching?

I should remove my dentures before sleeping and soak them in water

How many hours apart is a medication administered if it is prescribed as BID, TID, or QID?

BID= 12hr , TID= 8hr , QID= 6hr

The nurse is teaching a newly diagnosed diabetic pt about foot care. Which pt statement requires further teaching?

"I can go barefoot inside my house since it’s clean."

A patient requires droplet precautions for influenza. Which personal protective equipment (PPE) is required?

Gown, gloves, and surgical mask

A nurse is educating a patient about using a walker. Which instruction should the nurse include?

Move the walker and your weaker leg forward, then the stronger leg

A nurse is caring for a pt with pain. Which statement indicates a correct understanding of pain assessment?

Pain is whatever the patient says it is

A nurse is caring for a visually impaired patient. Which intervention is most appropriate?

Announce yourself when entering and leaving the room

A nurse is educating a patient about proper crutch use. Which instruction is correct?

The crutch tips should be positioned 2-3 fingers below the armpit

A nurse is assessing a patient’s pain. Which statement by the patient requires immediate nursing intervention?

The pain feels like it’s spreading to my jaw

A nurse is reviewing fall precautions for a patient at high risk for falls. Which intervention is most effective?

Place the call light within reach

A nurse is caring for a patient with airborne precautions for tuberculosis. Which PPE should the nurse wear?

Gloves, gown, N95 mask, and face shield or goggles

A pt with diabetes is being discharged. Which statement by the pt indicates a need for further info about foot care?

I will soak my feet daily to keep them clean

A nurse is reviewing a patient's lab results. Which of the following indicates an infection?

White Blood Cell (WBC) count of 14,000/mm³

CONVERSION ALERT: 1 kg/lbs and 1 kg/g

1kg = 2.2 lbs and 1kg = 1,000 g

A nurse is giving discharge instructions to a visually impaired pt. Which statement indicates proper communication?

"Your med bottles have raised markings to indicate the correct doses."

Which nursing intervention is most effective in preventing deep vein thrombosis (DVT) in an immobile patient?

Perform passive range of motion exercises

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Exam 2 Funds

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1
A nurse is educating a diabetic pt on preventing foot complications Which pt statement indicates a need for further info
I will check my feet daily for cuts, blisters, or redness
I should never trim my toenails too short or cut the corners
I will wear well-fitting shoes and socks at all times
I should use lotion between my toes to keep my feet moisturized
2
A nurse is performing a Braden Scale assessment. What factor does this scale measure?
Risk for malnutrition
Risk for developing deep vein thrombosis
Risk for falls in the elderly
Risk for developing pressure ulcers
3
A nurse is caring for an elderly patient with hearing impairment. Which strategy is most effective for communication?
Repeat the same phrase multiple times without changing wording
Position yourself directly in front of the patient
Speak loudly and quickly
Avoid written communication to prevent confusion
4
A nurse is educating a pt abt using hot & cold therapy for pain. Which statement by the pt indicates understanding?
Heat therapy is the best option for treating acute injuries
I should apply cold therapy for 15-20 minutes at a time
I should apply a heating pad directly on my skin to avoid burns
I will keep an ice pack on my sore shoulder for at least an hour
5
CONVERSION ALERT: 1oz/mL and 1 cup/oz
1 oz = 30 mL and 1 cup = 8 oz
1 oz = 35 mL and 1 cup = 8 oz
1 oz = 15 mL and 1 cup = 4 oz
1 oz = 32 mL and 1 cup = 9 oz
6
A nurse is assessing an elderly pt with sensory impairment. Which intervention is most effective in reducing confusion?
Allow multiple visitors at the bedside for socialization
Keep the patient in a dark and quiet room at all times
Keep the television volume on low throughout the day
Minimize background noise and dim the lights slightly
7
A nurse is assisting a patient with crutches using a three-point gait. Which statement correctly describes this gait?
The pt moves one crutch forward, followed by the opp. leg, then repeats.
Pt moves both crutches and the aff leg forward, then moves the unaff leg.
The patient swings both legs past the crutches at the same time.
The pt moves both crutches forward, then swings both legs forward together.
8
A patient with immobility is at risk for deep vein thrombosis (DVT). What is the most appropriate intervention?
Encourage ankle flexion and extension exercises
Keep the patient's legs in a dependent position
Limit fluid intake to prevent edema
Massage the lower legs to promote circulation
9
A nurse is caring for a patient with decreased mobility. Which intervention helps prevent contractures?
Keeping the patient in bed as much as possible
Applying heat packs to the joints
Performing passive or active range-of-motion exercises
Encouraging a high-protein diet
10
A nurse is teaching a patient about preventing pressure ulcers. Which statement by the patient indicates understanding?
I should change positions every 4 hours
I should massage any red areas to improve circulation
I will eat foods high in protein to promote skin healing
I will place a donut cushion under my buttocks to relieve pressure
11
A patient is being treated for an immobility-related complication. Which finding is most concerning?
Slightly decreased breath sounds in both lungs
A blood glucose reading of 110 mg/dL
Reddened area on the sacrum that does not blanch
Mild constipation that resolves with increased fluids
12
A nurse is teaching a patient how to use a cane. Which instruction is correct?
Hold the cane on your weaker side for balance
Move the cane forward at the same time as your stronger leg
Hold the cane on your stronger side and move it forward first
Swing the cane forward and hop on your stronger leg
13
A nurse is giving fall prevention education to a pt at risk for falls Which statement indicates a need for further info?
I should wear socks when walking around my house
I will remove throw rugs from my home
I will use grab bars in the bathroom
I should use a nightlight in my bedroom and bathroom
14
A patient receiving oxygen therapy via nasal cannula reports nasal dryness. What should the nurse do?
Apply a water-based lubricant to the nostrils
Increase the oxygen flow rate
Switch to a non-rebreather mask
Decrease the patient’s oxygen flow
15
A nurse is providing oral care to an unconscious patient. What is the priority action?
Position the patient in supine position
Use a padded tongue blade to keep the mouth open
Keep the patient’s head tilted back to prevent aspiration
Avoid using suction during the procedure
16
A nurse is assessing a patient who had a stroke. Which finding suggests difficulty swallowing (dysphagia)?
Patient reports dry mouth
Patient prefers soft foods over solid foods
Patient coughs while drinking water
Patient's speech is slurred
17
A nurse is preparing to lift a heavy patient from bed to wheelchair. Which action demonstrates proper body mechanics?
Hold the patient away from the body for better leverage
Bend at the waist and lift with the arms
Keep the back straight and lift with the legs
Keep the feet close together and use the lower back
18
A nurse is explaining the concept of SMART goals to a patient. Which statement best represents a SMART goal?
I want to feel better soon
I will exercise more when I have time
I will walk for 10 minutes every morning for the next week
I will try to be more active when I feel like it
19
A patient is admitted with suspected pneumonia. Which symptom is most concerning to the nurse?
Respiratory rate of 30 breaths per minute
Productive cough with yellow sputum
Fever of 101°F (38.3°C)
Mild fatigue
20
A nurse is caring for a visually impaired patient. Which action is appropriate when communicating with the patient?
Avoid touching the patient to respect personal space
Describe the environment using a clock-face reference
Address the sighted person in the room to confirm the patient's needs
Speak loudly so the patient can hear clearly
21
A nurse is caring for an elderly patient at risk for sensory overload. Which intervention would best reduce confusion?
Keep the lights bright at all times
Turn off the television and minimize alarms
Allow multiple visitors at once to provide stimulation
Frequently change the patient’s room to prevent boredom
22
A nurse is caring for a patient with orthostatic hypotension. What is the best intervention?
Limit fluid intake to prevent fluid overload
Encourage the patient to stand up quickly to improve circulation
Have the patient lie flat immediately after standing
Instruct the patient to dangle their legs before standing
23
A nurse is assessing a patient for signs of deep vein thrombosis (DVT). Which finding is most concerning?
Mild swelling in both feet
Reports of occasional leg cramps at night
Redness, warmth, and unilateral leg swelling
Decreased sensation in both legs
24
Ordered: 500mg q8h. Available: 250mg/5mL. How much total mL will the patient receive daily?
25 mL
30 mL
15 mL
10 mL
25
A nurse is providing discharge info for a pt rx'd a blood thinner. Which statement by the patient requires further tea
I will report any unusual bruising or bleeding to my doctor
I should use an electric razor when shaving
I will take aspirin if I have a headache
I should avoid contact sports
26
A patient is in Trendelenburg position. Which description correctly defines this position?
The patient is lying flat on their back
The patient is lying supine with the head lower than the feet
The patient is lying on their side with the knees bent
The patient is sitting upright at a 90-degree angle
27
A pt on blood transfusion suddenly develops chills, fever, and lower back pain. What is the nurse's priority action?
Slow the transfusion rate
Notify the healthcare provider after the transfusion is complete
Stop the transfusion immediately
Administer acetaminophen for fever
28
A nurse is caring for a patient with an airborne infection. Which personal protective equipment (PPE) is required?
Surgical mask, gown, and gloves
N-95 mask, gown, gloves, and face shield or goggles
Gown and gloves
Gloves only
29
A patient receiving anticoagulant therapy requires shaving assistance. Which method is most appropriate?
Allow the patient to shave themselves with a safety razor
Use a disposable straight razor
Use an electric razor
Skip shaving to prevent injury
30
A patient is being discharged with a prescription for opioid pain medication. What is the most important teaching point?
Take the medication only if the pain is severe
You should avoid taking this medication before bedtime
Increase fluid and fiber intake to prevent constipation
Take this medication on an empty stomach for best absorption
31
A nurse is assessing a patient for signs of pain. Which finding suggests the patient is experiencing pain?
Regular respiratory rate and relaxed facial expression
68 bpm heart rate and 120/78 mmHg blood pressure
Talking and laughing with visitors
Grimacing and guarding the affected area
32
A nurse is educating a pt with HTN about dietary changes. Which statement by the pt indicates understanding?
I should avoid foods high in potassium
I will increase my sodium intake
I will follow the DASH diet and limit processed foods
I can eat as much canned soup as I want
33
A nurse is providing hygiene care to a bariatric patient. Which intervention is most important?
Apply baby powder between skin folds
Use a single towel to dry all areas
Encourage the patient to shower only once a week
Clean and dry all skin folds thoroughly
34
A nurse is teaching a patient about proper denture care. Which statement indicates the patient understands the teaching?
I should remove my dentures before sleeping and soak them in water
I should scrub my dentures with a hard-bristled toothbrush
I should store my dentures in a dry container overnight.
I should use hot water to clean my dentures
35
How many hours apart is a medication administered if it is prescribed as BID, TID, or QID?
BID= 2 hr , TID= 3hr, QID= 4hr
BID= 5 hr, TID= 10 hr, QID= 15hr
BID= 1hr, TID= 2hr, QID= 3hr
BID= 12hr , TID= 8hr , QID= 6hr
36
The nurse is teaching a newly diagnosed diabetic pt about foot care. Which pt statement requires further teaching?
"I should trim my toenails straight across."
"I will use a bath thermometer to check water temp before soaking my feet."
"I can go barefoot inside my house since it’s clean."
"I will check my feet daily for any cuts or sores."
37
A patient requires droplet precautions for influenza. Which personal protective equipment (PPE) is required?
Gown, gloves, and surgical mask
Gloves only
Gloves and N95 respirator
Gown, gloves, N95 respirator, and face shield
38
A nurse is educating a patient about using a walker. Which instruction should the nurse include?
Step forward with your stronger leg, then move the walker and weaker leg
Lean on the walker while taking large steps forward
Move the walker and your weaker leg forward, then the stronger leg
Lift the walker and move it forward at least 3 feet with each step
39
A nurse is caring for a pt with pain. Which statement indicates a correct understanding of pain assessment?
If a patient is talking and laughing, they are not in pain
Pain perception is the same for all patients
Pain is whatever the patient says it is
Pain must be confirmed with objective signs before treating it
40
A nurse is caring for a visually impaired patient. Which intervention is most appropriate?
Place objects in different locations to help the patient adjust
Assume the patient understands verbal directions without confirmation
Announce yourself when entering and leaving the room
Speak loudly so the patient can hear you clearly
41
A nurse is educating a patient about proper crutch use. Which instruction is correct?
You should bear weight on your armpits when using crutches
Keep your elbows fully extended when using crutches
The crutch tips should be positioned 2-3 fingers below the armpit
When going upstairs, step up with your weaker leg first
42
A nurse is assessing a patient’s pain. Which statement by the patient requires immediate nursing intervention?
My pain is a 7 out of 10
My pain medication isn’t working as well as before
The pain feels like it’s spreading to my jaw
The pain is sharp and radiates down my arm
43
A nurse is reviewing fall precautions for a patient at high risk for falls. Which intervention is most effective?
Remove all non-slip socks to prevent tripping
Encourage the patient to walk alone for independence
Place the call light within reach
Keep the bed in the highest position for visibility
44
CONVERSION ALERT: how many mL equals one TSP and one TBSP?
One TSP= 5 mL, One TBSP= 10 mL
One TSP= 5 mL, One TBSP= 15 mL
One TSP= 10 mL, One TBSP= 20 mL
One TSP= 15 mL, One TBSP= 30 mL
45
A nurse is caring for a patient with airborne precautions for tuberculosis. Which PPE should the nurse wear?
Gloves, gown, N95 mask, and face shield or goggles
Gloves only
Gloves, gown, and surgical mask
Gloves and surgical mask
46
A pt with diabetes is being discharged. Which statement by the pt indicates a need for further info about foot care?
I will wear shoes and socks at all times
I will soak my feet daily to keep them clean
I should check my feet daily for sores or blisters
I should trim my nails straight across
47
A nurse is reviewing a patient's lab results. Which of the following indicates an infection?
Blood Urea Nitrogen (BUN) level of 10 mg/dL
Hemoglobin (Hgb) level of 12 g/dL
White Blood Cell (WBC) count of 14,000/mm³
Red Blood Cell (RBC) count of 4.8 million/mm³
48
CONVERSION ALERT: 1 kg/lbs and 1 kg/g
1kg = 2.5 lbs and 1kg = 2,000 g
1kg = 2.2 lbs and 1kg = 1,000 g
1kg = 12.2 lbs and 1kg = 1,050 g
1kg = 2.8 lbs and 1kg = 1,500 g
49
A nurse is giving discharge instructions to a visually impaired pt. Which statement indicates proper communication?
"You should only take your medication in the morning."
"I'll just explain everything to your friend here so they can help you."
"Try to feel around for the call light when you need assistance."
"Your med bottles have raised markings to indicate the correct doses."
50
Which nursing intervention is most effective in preventing deep vein thrombosis (DVT) in an immobile patient?
Apply ice packs to the lower extremities
Keep the legs elevated at all times
Encourage frequent coughing and deep breathing
Perform passive range of motion exercises
51
A nurse is assessing a patient’s urinary output. Which finding is most concerning?
Slightly cloudy urine
Urine output of 20 mL/hr
Pale yellow urine
A strong ammonia odor in urine
52
A nurse is preparing to document a newly inserted indwelling urinary catheter. What should be in the documentation?
The patient’s home address
Size of catheter and amount of urine output
Patient’s favorite beverage
Nurse’s opinion about the procedure
53
A patient is at risk for deep vein thrombosis (DVT). Which intervention is most important?
Encourage early ambulation and leg exercises
Elevate the legs above the heart at all times
Apply cold compresses to the legs
Encourage the patient to cross their legs frequently
54
A nurse is caring for a pt with a suspected systemic infection. Which clinical manifestation supports this diagnosis?
Fever, chills, and increased white blood cell count
Purulent drainage from a localized wound
Swelling and tenderness in a single extremity
Redness and warmth at the site of a wound
55
A nurse is instructing a patient on how to properly use a cane. Which teaching point is correct?
Keep the cane in front of both feet when walking
Hold the cane on the weaker side
Move the cane and stronger leg together, then the weaker leg
Move the cane forward, followed by the weaker leg, then the stronger leg
56
A nurse is educating a pt on the proper use of SCDs. Which statement by the patient requires further info?
The device inflates and deflates to mimic circulation
These will help improve blood flow in my legs
They help reduce my risk of developing blood clots
I should wear them continuously, even while walking
57
500 mg ordered, and 250 mg per tablet available. How many tablets should the nurse administer?
1.5 tablets
3 tablets
1 tablet
2 tablets
58
A nurse is preparing to ambulate a patient using a walker. Which instruction is correct?
Keep your arms completely straight when using the walker
Move the walker forward and then step with your weaker leg first
Step forward with both feet before moving the walker
Lean on the walker for support while stepping forward
59
A patient with hearing impairment is admitted to the hospital. What is the best communication strategy?
Speaking softly and avoiding eye contact to reduce discomfort
Shouting to ensure the patient hears clearly
Speaking quickly to deliver important information
Facing the patient directly and using written materials as needed
60
A nurse is performing oral care for an unconscious patient. Which action is correct?
Place the patient in a supine position to facilitate brushing
Rinse the patient’s mouth with large amounts of water
Use a soft-bristled toothbrush and suction equipment as needed
Use an unpadded tongue blade to keep the mouth open
61
CONVERSION ALERT: 1 TBSP/TSP and 1oz/TBSP
1 TBSP = 5 TSP and 1 oz = 3 TBSP
1 TBSP = 3 TSP and 1 oz = 2 TBSP
1 TBSP = 10 TSP and 1 oz = 5 TBSP
1 TBSP = 2.5 TSP and 1 oz = 3 TBSP
62
A patient with diabetes mellitus is experiencing confusion, sweating, and tachycardia. What is the nurse’s first action?
Administer glucagon IM
Encourage the patient to exercise
Give an insulin injection
Check the patient’s blood glucose level
63
A pt with a hx of falls is being discharged home. What is the best nursing intervention to reduce the risk of falls?
Place a chair in the shower for resting
Encourage the patient to avoid using assistive devices
Keep the home dimly lit to avoid glare
Remove loose rugs and clutter from walkways
64
A nurse is teaching a family how to prevent skin breakdown in a wheelchair-bound pt. Which intervention is correct?
Have the patient sit in the wheelchair continuously to maintain posture
Apply lotion generously to keep the skin moist
Reposition the patient every 15-30 minutes
Use a plastic seat cover to protect the cushion
65
CONVERSION ALERT: 1 mg/mcg, 1g/mg, 1L/mL
1mg = 2,000 mcg, 1g = 2,000 mg, 1 L = 2,000 mL
1mg = 1,500 mcg, 1g = 1,500 mg, 1 L = 1,500 mL
1mg = 3,000 mcg, 1g = 3,000 mg, 1 L = 3,000 mL
1mg = 1,000 mcg, 1g = 1,000 mg, 1 L = 1,000 mL
66
What is the best initial action for a nurse to take when a pt reports severe pain?
Administer prescribed pain medications immediately
Tell the patient not to worry because pain is expected
Assess the patient's pain level using a pain scale
Encourage the patient to try relaxation techniques first
67
A nurse is teaching a patient how to ambulate with a walker. Which instruction is correct?
Move both legs forward, then move the walker
Step forward with the stronger leg first
Push the walker far ahead before stepping forward
Keep the walker close to the body and move it first before stepping
68
A nurse is providing oral care to an unconscious patient. What is the correct position for the patient?
Side-lying with the head slightly tilted forward (lateral)
High-Fowler’s position
Trendelenburg position
Supine with a pillow under the head
69
A nurse is teaching a pt with osteoporosis about preventing fractures. Which statement by the pt requires further info?
I will use scatter rugs in my home for added comfort
I will take my prescribed medications as directed
I should increase my calcium and vitamin D intake
I will engage in weight-bearing exercises like walking
70
A nurse is caring for a patient with a systemic infection. Which finding is most concerning?
Localized redness and swelling
Drainage from the wound site
A temperature of 102°F (38.9°C)
Mild pain at the site of infection
71
A nurse is teaching a patient about infection control. What is the most effective way to prevent infection?
Keeping the environment sterile at all times
Using antibacterial soap for all cleaning
Wearing gloves at all times
Practicing proper hand hygiene
72
The nurse is repositioning a bedridden patient to prevent skin breakdown. How often should the patient be repositioned?
Every 2 hours
Every 4 hours
Once per shift
Every hour
73
A nurse is caring for a post-op pt at risk for atelectasis. What is most effective in preventing this complication?
Encourage early ambulation
Keep the head of the bed flat
Restrict fluid intake
Encourage bed rest for 24 hours
74
Ordered 240 mg. 160 mg per 5 mL is available. How many teaspoons (TSP) should the nurse administer?
1 tsp
2.5 tsp
2 tsp
1.5 tsp
75
A pt requires proper positioning to prevent aspiration pneumonia. Which position is most appropriate for this patient?
High Fowler’s
Lateral
Trendelenburg
Supine

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