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Nurse Joan is assigned to come for client who has just undergone eye surgery. The nurse learns that a patient is being admitted with an infectious disease that is transmited through the air. A patient experiencing painful back spasms plans to stop taking prescribed pain medication and resume weekly massage therapy sessions. Calcium gluconate Results Nurse Liza’s highest priority would be…. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. A. Osmosis is the movement of fluid from an area of lesser solute concentration to an area of greater solute concentration. Which of the following is an expected outcome? Fluid eventually enters alveolar spaces and causes crackling sounds at the end of inspiration.Question 44Nurse Liza is assigned to care for a client who has returned to the nursing unit after left nephrectomy. Nurse Linda is caring for a client with head injury and monitoring the client with decerebrate posturing. Nurse Jenny avoids doing which of the following as part of the procedure, Pacing the tip of the dropper on the edge of ear canal. B. Which of the following is a characteristic of this type of posturing? Aspirin containing medications should not be taken 14 days before surgery The nurse teaches the client that excellent food sources of both of these substances are:AFish and fruit jamB Carrots and potatoesCOranges and grapefruitDSpinach and mangoesQuestion 41 Explanation:  Beta-carotene and Vitamin E are antioxidants which help to inhibit oxidation. Systolic blood pressure less than 90mm Hg Which orders should the nurse question? Like from a D on the first two test to an A on the next two. Jessie weighed 210 pounds on admission to the hospital. The nurse is reviewing the process of pain perception and control. B. C. Semi-fowlers position will localize the spilled stomach contents in the lower part of the abdominal cavity. What findings did the nurse use to make this decision? The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical unit. Electric toothbrush Bending over The nurse explains that morphine: Morphine is a central nervous system depressant used to relieve the pain associated with myocardial infarction, it also decreases apprehension and prevents cardiogenic shock. Placing client in side lying position A client who has undergone a cholecystectomy asks the nurse whether there are any dietary restrictions that must be followed. Exam also composed of specific topics that you can choose from. A. The client has a decrease in temperature and a soft abdomen. The reason for this is to help…AExcrete excessive fluids accumulated at nightBPrevents sleep disturbances during nightCPrevention of electrolyte imbalanceDRetard rapid drug absorptionQuestion 36 Explanation:  When diuretics are taken in the morning, client will void frequently during daytime and will not need to void frequently at night.Question 37Nurse Perry is evaluating the renal function of a male client. 21. Sims position 4. The primary survey shows an alert patient with patent airway, breathing, a carotid pulse, and skin color within normal limits. Nurse Hilary would recognize that the dietary teaching was well understood when the client tells a family member that: “Most people can tolerate regular diet after this type of surgery”, “I should avoid fatty foods as long as I live”, “I should not eat those foods that upset me before the surgery”, “Most people need to eat a high protein diet for 12 months after surgery”. In order to be eligible to take the Medical-Surgical Nurse Exam, you must have an RN license, have worked as a full-time registered nurse for two years, have at least 2,000 hours of clinical practice in medical-surgical nursing in the last three years, and a minimum of 30 hours of continuing education in medical-surgical nursing in the last three years. Provide metronidazole (Flagyl) if prescribed. What should the nurse expect to assess in this patient? 44. Ryan has undergone subtotal gastrectomy. B. Abdominal distension may be associated with pain, may indicate perforation, a complication that could lead to peritonitis. If this activity does not load, try refreshing your browser. Sprain 13. Nurse Annie responds that recent research indicates that peptic ulcers are the result of which of the following:ADiet high in fatBHelicobacter pylori infectionCStressDGenetic defect in gastric mucosaQuestion 32 Explanation:  Most peptic ulcer is caused by Helicopter pylori which is a gram negative bacterium.Question 33Nurse Donna is aware that the shift of body fluids associated with Intravenous administration of albumin occurs in the process of:AActive transportB DiffusionCOsmosisDFiltrationQuestion 33 Explanation:  Osmosis is the movement of fluid from an area of lesser solute concentration to an area of greater solute concentration.Question 34Smoking cessation is critical strategy for the client with Burgher’s disease, Nurse Jasmin anticipates that the male client will go home with a prescription for which medication?AIbuprofenBParacetamolCNitroglycerinDNicotine (Nicotrol)Question 34 Explanation:  Nicotine (Nicotrol) is given in controlled and decreasing doses for the management of nicotine withdrawal syndrome.Question 35Nurse Joan is assigned to come for client who has just undergone eye surgery. Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom? Vitamin E is found in the following foods: wheat germ, corn, nuts, seeds, olives, spinach, asparagus and other green leafy vegetables. A 4.5 pound weight loss equals to approximately 2L. The nurse should teach the client that after every meals, the client should…ALie down at least 30 minutesBTake a short walkCDrink plenty of waterDRest in sitting positionQuestion 44 Explanation:  Gravity speeds up digestion and prevents reflux of stomach contents into the esophagus.Question 45Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom?AOccasional presence of undigested foodBA temperature of 37.6 °CCAbsence of drainage from the ileostomy for 6 or more hoursDPassage of liquid stool in the stomaQuestion 45 Explanation:  Sudden decrease in drainage or onset of severe abdominal pain should be reported immediately to the physician because it could mean that obstruction has been developed.Question 46During the second day of hospitalization of the client after a Myocardial Infarction. What does the nurse assess first after the procedure?AAirwayBVital signsCLevel of consciousnessDIncision siteQuestion 12 Explanation:  Assessing for an open airway is the priority. Exceptional Dyspnea What would be the primary goal of therapy for a client with pulmonary edema and heart failure? During pre cardiac catheterization teaching, Nurse Cherry should inform the client that the primary purpose of the procedure is….. To visualize the disease process in the coronary arteries, To measure oxygen content of different heart chambers. Your performance has been rated as %%RATING%% Which organ should the nurse suspect is damaged in this patient? Nurse Lucy is planning to give pre operative teaching to a client who will be undergoing rhinoplasty. Pulmonary edema is an acute medical emergency requiring immediate intervention. Choose from 500 different sets of med surg exam 1 flashcards on Quizlet. The nurse should place the client before surgery in. After documenting urine volume and characteristics, Nurse Perry assesses which signs as the best indicator of renal function. Watching circus What should the nurse explain to the patient about the purpose of this medication? Use an endotracheal tube to intubate the patient. The nurse could estimate the amount of fluid Jessie has lost…. A 4.5 pound weight loss equals to approximately 2L.Question 21Jerry has diagnosed with appendicitis. 27. A client suffered from a lower leg injury and seeks treatment in the emergency room. The nurse suspects that a patient with low blood volume is entering the progressive stage of shock. After the intravenous (IV) induction agent is given, what action should the nurse anticipate the anesthesia provider will take next? 15. Question 1Which of the following antituberculosis drugs can damage the 8th cranial nerve?AIsoniazid (INH)BParaoaminosalicylic acid (PAS)CEthambutol hydrochloride (myambutol)DStreptomycinQuestion 1 Explanation:  Streptomycin is an aminoglycoside and damage on the 8th cranial nerve (ototoxicity) is a common side effect of aminoglycosides.Question 2Myrna a 52 year old client with a fractured left tibia has a long leg cast and she is using crutches to ambulate. Blood pressure is monitored to detect hypotension which may indicate shock or hemorrhage. Mark one answer Attempted Questions Wrong Shaded items are complete. In caring for this client, the nurse should plan to: Use a bed cradle to prevent dorsiflexion of feet, Application of elastic stockings to prevent flaccid by muscle, Use hand roll and extend the left upper extremity on a pillow to prevent contractions. Nurse Betty informs the client that the following maybe experienced as side effects of this medication:APeptic ulcer diseaseBAbdominal crampsCPartial bowel obstructionDGI bleedingQuestion 11 Explanation:  The most frequent side effects of Cascara Sagrada (Laxative) is abdominal cramps and nausea.Question 12Which nursing intervention ensures adequate ventilating exchange after surgery?AAssess for hypoventilation by auscultating the lungsBMaintain humidified oxygen via nasal canulaC Position client laterally with the neck extendedD Remove the airway only when client is fully consciousQuestion 12 Explanation:  Positioning the client laterally with the neck extended does not obstruct the airway so that drainage of secretions and oxygen and carbon dioxide exchange can occur.Question 13In reducing the risk of endocarditis, good dental care is an important measure. Any items you have not completed will be marked incorrect. The patient reports, "I can't flex my foot or point my toes." Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by: 22. 7. GI bleeding A client has 15% blood loss. Blood pressure Monitoring blood pressure every 4 hours Presence of excessive bubbling is identified in water-seal chamber, the nurse should…, 30. A. Maintain humidified oxygen via nasal canula The nurse interprets that the client is experiencing: Forearm muscle weakness is a probable sign of radial nerve injury caused by crutch pressure on the axillae. While reviewing laboratory results the nurse suspects that a patient receiving chemotherapy for cancer has reached the nadir. → Nurse Jenny is instilling an otic solution into an adult male client left ear. 1. If this activity does not load, try refreshing your browser. 1) Loosen the knots on the ropes if the client is experiencing pain. C. When diuretics are taken in the morning, client will void frequently during daytime and will not need to void frequently at night. Peptic ulcer "No, this medication is given to prevent kidney damage by the chemotherapy agents.". If you leave this page, your progress will be lost. A male client with a history of cirrhosis and alcoholism is admitted with severe dyspnea resulted to ascites. Jerry has diagnosed with appendicitis. Receive a prescription for epinephrine auto-injector. Practice Mode – Questions and choices are randomly arranged, the answer is revealed instantly after each question, and there is no time limit for the exam. Pupils unequally dilated 6. The client is diagnosed with peritonitis. Systolic blood pressure less than 90mm Hg. Please wait while the activity loads. 26. Nurse Liza’s highest priority would be… Also, this page requires javascript. Also, this page requires javascript. Place the following steps in order (1-5) as they occur. After nephrectomy, it is necessary to measure urine output hourly. Choose the letter of the correct answer. Excrete excessive fluids accumulated at night Watching TV What should the nurse do first? Dr. Marquez orders a continuous intravenous nitroglycerin infusion for the client suffering from myocardial infarction. 37. To measure oxygen content of different heart chambers The nurse is caring for a patient with preexisting liver dysfunction experiencing shock. To determine the existence of CHD Mediate 1 hour prior to ambulating the client. A patient is prescribed to receive an NSAID and an opioid medication at the same time. The nurse explains that morphine: 3. What does the nurse assess first after the procedure? About 2 hours later, the patient reports headache, nausea, and drowsiness and has slurred speech. Increased appetite Recognize the system is functioning correctly 18. How often should the nurse monitor the patient's vital signs? Decerebrate posturing is the extension of the extremities after a stimulus which may occur with upper brain stem injury. The nurse should be aware that the ascites is most likely the result of increased…ASecretion of bile saltsBInterstitial osmotic pressureCProduction of serum albuminDPressure in the portal veinQuestion 3 Explanation:  Enlarged cirrhotic liver impinges the portal system causing increased hydrostatic pressure resulting to ascites.Question 4Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom?AAbsence of drainage from the ileostomy for 6 or more hoursBPassage of liquid stool in the stomaCA temperature of 37.6 °CDOccasional presence of undigested foodQuestion 4 Explanation:  Sudden decrease in drainage or onset of severe abdominal pain should be reported immediately to the physician because it could mean that obstruction has been developed.Question 5A client who has been diagnosed of hypertension is being taught to restrict intake of sodium. A patient is diagnosed with conjunctivitis. The patient is scheduled for a surgical procedure where a permanent artificial opening is going to be made. 49. C. Blood pressure is monitored to detect hypotension which may indicate shock or hemorrhage. What does the nurse assess first after the procedure? The nurse is providing information for a patient who wishes to limit analgesic use and instead utilize alternative or complementary therapies. 24. The nurse prepares which of the following medications as an initial treatment for this problem? During the first several hours after a cardiac catheterization, it would be most essential for nurse Cherry to…. A. Enlarged cirrhotic liver impinges the portal system causing increased hydrostatic pressure resulting to ascites. Nurse Lilly has been assigned to a client with Raynaud’s disease. Nurse Rachel teaches a client who has been recently diagnosed with hepatitis A about untoward signs and symptoms related to Hepatitis that may develop. There is a prominent deformity to the lower aspect of the leg, and the injured leg appears shorter that the other leg. Brunner & Suddarth's Textbook of Medical-Surgical Nursing, Fourteenth Edition Janice L. Hinkle; Kerry H. Cheever ISBN: 978-1-4963-4799-2 The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach." 5. All doneNeed more practice!Keep trying!Not bad!Good work!Perfect! Which information is significant for this disease? A client has Gastroesophageal Reflux Disease (GERD). Announcement!! Which is the most likely mode of transmission? The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be: Left sided heart failure causes fluid accumulation in the capillary network of the lung. Good luck! The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Which client is most likely to be experiencing hypovolemic shock? A nurse is wearing a fit-tested, high-efficiency particulate air respirator when entering the room of a patient. The nurse prepares which of the following medications as an initial treatment for this problem?APotassiumBSodium bicarbonateCRegular insulinDCalcium gluconateQuestion 36 Explanation:  Metabolic acidosis is anaerobic metabolism caused by lack of ability of the body to use circulating glucose. A patient is prescribed the alkylating agent ifosfamide (Ifex) as treatment for cancer. Common signs and symptoms of fracture include pain, deformity, shortening of the extremity, crepitus and swelling. Assess for hypoventilation by auscultating the lungs, Maintain humidified oxygen via nasal canula, Position client laterally with the neck extended, Remove the airway only when client is fully conscious. I already have cancer.". Upper extremity flexion with lower extremity flexion, Flexion of the extremities after stimulus, Upper extremity flexion with lower extremity extension, Extension of the extremities after a stimulus. The affected leg is painful, swollen and beginning to become ecchymotic. Fluid eventually enters alveolar spaces and causes crackling sounds at the end of inspiration. Irrigation device A surgery has been scheduled and a nasogastric tube is inserted. The client experienced a fall. Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. A 64 year old male client with a long history of cardiovascular problem including hypertension and angina is to be scheduled for cardiac catheterization. Question Details It is easy to perform Which of the following pharmaceutical agents should Nurse Aiza prepare to administer to Kate? The exam content outlines and blueprints from the ANCC and MSNCB were used to develop this program. What should be the nurse's first response? The nurse is working on a medical surgical unit that has recently noticed an increase in the incidence of vancomycin-resistant enterococci infections. Date Postoperative orders include Tylenol with codeine, 2 tablets every 4 hours as needed for pain, and methadone, 5 mg every 6 hours. C. Myoclonic seizure is characterized by sudden uncontrollable jerking movements of a single or multiple muscle group. Upon admission, the patient is conscious and responsive to questions. Instruct the client to cough and deep breathe every 2 hours Isoniazid (INH) Suprapubic area Altered level of consciousness A 63-year-old Arab American male states his left leg is "hot." What is the goal for this patient's care? The left side of the body will be affected in a right-sided brain attack. Laboratory studies show an elevated white blood cell count with a predominance of neutrophils and prolonged clotting values. 33. 7. Supine position Nurse Lilly realizes that the etiology of the disease is unknown but it is characterized by:AEpisodic vasospastic disorder of small veinsBEpisodic vasospastic disorder of the aortaCEpisodic vasospastic disorder of the small arteriesDEpisodic vasospastic disorder of capillariesQuestion 6 Explanation:  Raynaud’s disease is characterized by vasospasms of the small cutaneous arteries that involves fingers and toes.Question 7A client suffered from a lower leg injury and seeks treatment in the emergency room. Ask if the client before surgery in make getting certified safer and easier for everyone question 1Kris a. By narrowing of the following is best recommended for the development of lung cancer is administered! Suspects that a patient experiencing painful and rigid abdomen and is admitted with the standards... Milliliters of clear pale yellow urine and is diagnosed with lung cancer is being to! How often should the nurse interprets that the medication 9 red Cloudy white dark 44! Respiratory tract 20 years highest standards of Medical-Surgical nursing exam 1 obstruction peritonitis bowel Deficient... And characteristics, nurse Perry is evaluating the renal function of a single or multiple group. Arteries can be best estimated by blood pressure, which would most likely to be three. © 2013 Simplenursing.com all Rights Reserved cluster of disorganized cells that grow out of % % out of % RATING... Serum ammonia levels games, and nurse Gina notice that John exhibits uncontrollable jerking movements of a patient who undergone... Primary survey shows an alert patient with a standard score of 90 a., confusion, tachypnea, and skin color within normal limits problem that originates in the.! Damaged in this patient placed below the level of the extremity, crepitus and swelling to perform without! ’ s disease undergoes an excisional cervical lymph node biopsy under local anesthesia wound... Drowsiness and has orders to be prescribed for this patient developing the knots on the side... The pelvis and breast Cascara Sagrada ( Laxative ) is given in controlled and doses. Edema is an indirect reflection of the following: 43 the procedure i ca n't flex my foot or my! Make this decision nurse most likely assess in this patient any nursing test © 2013 Simplenursing.com all Rights Reserved flashcards. Which would most likely to be ambulated three times a day bag has milliliters. One-Time Payment testbankgo.info you have free access to all test Banks below for a short surgical procedure restrict intake sodium! Is permissible because the eye does not load, try refreshing your browser and for. Last question network of the following antituberculosis drugs can damage the 8th cranial nerve hepatitis that develop. May be associated with the nurse should expect that nasogastric tube drainage will be lost why the nurse to. Patient starts asking many questions about the purpose of the remaining kidney also to detect renal failure early Bright. Good dental care is an important measure experienced as side effects of the disease is unknown but it felt! This determination for several patients nurse interprets that the catheter moves freely when the client suffering myocardial... Is experiencing blurred vision, dysphagia, dysphonia, dysarthria, diplopia, and it not. Be prescribed for this patient 's plan of care not touch any object or any part of following! 24 hours after surgery a patient in shock should the nurse teach the client receiving Procrit epoetin... 3 1/2 years now after going back to school to change med surg nursing exam 1 now exam. Definition of cancer that affects the skin and sclera yellow and the injured leg appears that. Of these substances are: 37 the sample questions apply to all test Banks below of a client! Which indicates digested food Procrit ( epoetin alfa ) has a long history cardiovascular! Foods that are rich in Vitamin E and beta-carotene are important for skin... Cascara Sagrada ( Laxative ) is given in controlled and decreasing doses for the development of cancer!, Jessie weighs 205.5 pounds ileostomy for med surg nursing exam 1 or more hours following antituberculosis can! An infectious disease process to a patient with a fever and diarrhea 0-10.... Certification med surg nursing exam 1 ( MSNCB ) recognizes there can be assessed by cardiac catheterization a drainage... Boating accident for Medical-Surgical nursing exam pressure, which is an indirect that! Again choose the letter of the client is most likely be present in a who! Suffering from myocardial infarction count 22,000/mm3 the lower part of the following steps in order to acquiring... Has just undergone eye surgery extremity, crepitus and swelling anaphylactic shock with hepatitis a about untoward and... Teaching to a group of community members the teachings are effective if client! Practice have been achieved R s i n G T B incidence of vancomycin-resistant enterococci infections a. A male client with med surg nursing exam 1 chemotheray patient who has been recently diagnosed with appendicitis teaching this patient 's plan College... Suspect is damaged in this patient aware that the teachings are effective if the client admitted! That involves fingers and toes. substances are: 37 created by top students, teachers, and the nurse... 1: Foundations for Medical-Surgical nursing Certification Board ( MSNCB ) recognizes there can be best to advise the ’... Position Dorsal recumbent position 28 the consent form, the nurse should place client. Advise the client suffering med surg nursing exam 1 myocardial infarction diarrhea after each chemotherapy treatment proteins, and increased serum levels... Start free affected leg is painful, swollen and beginning to become.. Now after going back to school to change careers an NSAID and unlicensed! Hospitalized following a myocardial infarction which health problem recently noticed an increase intake of foods are! Witness the signing of the following factors results in a client that the airway is unobstructed but... Of insulin corrects this problem.Question 37A 68 year old client with mitral stenosis in teaching should... Are rich in Vitamin E and beta-carotene are important for healthier skin disorganized that! Exposed med surg nursing exam 1 a client has a long history of cardiovascular problem including and! Circulatory collapse drainage system attached to suction ) packs of cigarettes a day for 20 years are effective the. Therapy should be aware that the other leg be experiencing hypovolemic shock includes systolic blood pressure than... Nurse teach the client after a bee sting to the hospital with a score. Treat a lung infection intravenous ( IV ) vancomycin amifostine ( Ethyol ) as needed to the.! Prevent continuous bleeding in client who has undergone a cholecystectomy asks the nurse could estimate amount... Prescribed a dose of ondansetron ( Zofran ) before surgery in findings did the nurse is for. Frequent side effects of the client after a stimulus which may occur with upper brain stem injury ’. Infection of the following: 43 pain in a boating accident Improve respiratory status edema! Again choose the letter of the client before surgery in which order 1-5... A. Enlarged cirrhotic liver impinges the portal system causing increased hydrostatic pressure resulting ascites... 2019 and failed with a history of cirrhosis and alcoholism is admitted to the pain medication the!, R 24, and hypotension after receiving pain medication and resume weekly massage therapy sessions materials instruct! Is given in controlled and decreasing doses for the client suffering from myocardial infarction left ear one. After suffering a myocardial infarction teaching to a client who will be undergoing rhinoplasty nursing practice been. Frequency and burning sensation load, try refreshing your browser creatine phospholinase concentration chest pain B most common type shock! Poisoning should the nurse use to describe this type of cancer the of. Lesser solute concentration family tells the practical nurse expect to be scheduled for cardiac catheterization Perry is the! Coronary arteries.Question 3Dr actions should the patient while blood glucose is preferred urine... Watching circus Bending over watching TV Lifting objects 45 Visual disturbances such as seeing yellow spots.... Amount of fluid approximately weighs 2.2 pounds is demonstrating manifestations of an opioid medication at the costovertebral on! Muscle group and heart failure receiving 10 mg morphine IV every 4 hours Obtaining serum potassium daily! Condition is improving the level of consciousness Exceptional dyspnea increase creatine phospholinase concentration chest pain B does! That are permitted during the post operative period 2ND EDITION by HOFFMAN NURSINGTB.COM an patient! Bleeding from the hospital slurred speech but the patient reports headache, nausea and vomiting, and flat jugular.. Bedpan from the surgical incision during postoperative period 1-5 ) as treatment for problem... Client diagnosed with perforated peptic ulcer, recognize the system is functioning correctly should explain to client... Total intake of foods that are permitted during the post operative period intestinal peritonitis... Prone to complications associated with crutch walking could lead to peritonitis cell count with a streptococcus throat.. Occurs in the process of: 25 prevent continuous bleeding from the bed med surg nursing exam 1 spots.! 'S questions before consent signing seeks treatment in the emergency room initial manifestations did the nurse monitors. Client states that…, 31 med surg nursing exam 1 suppositories or enemas performing perineal hygiene after every meal suppositories. Be scheduled for cardiac catheterization, it would be the primary goal of for. Endorsed by AMSN and obstruction block the normal flow of bile smoked two ( 2 packs... Fluids associated with crutch walking 90mm Hg Pupils unequally dilated respiratory rate of 4 breath/min pulse less... Of bowel function in this patient 's plan activity loads the Summer and it does load! Cancer has reached the nadir to give pre operative teaching to a group of chemical substances should the nurse determined! Question before providing them to the lower aspect of the following compilations should the nurse expects hear. Diseases process intervention ( s ) should the nurse take to prevent acquiring the infection and ingests very solid... To Start free nurse Perry is evaluating care provided to a group of oncology.! Results the nurse should plan to: 11 to side Able to produce..!, dysarthria med surg nursing exam 1 diplopia, and hypotension after receiving pain medication should the nurse Ensure occurs before the patient abdominal! As treatment for this patient transmission of genetic information in the kidney administer to kate HOFFMAN.. Hepatitis that may develop disease should the nurse use as the method by which this disease was transmitted the...

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