which action would the nurse implement after identifying distention of the bladder in an ambulatory client with benign prostatic hyperplasia who reports his inability to void all night long?

We have to expect penalties for poor performance."

"I have to meet work deadlines at all costs."

"I'm getting the mistakes corrected after the fact." These are all the statements in support of the chief/senior nurse

Transaction leaders punish poorly performing followers and reward well-performing followers. Transaction managers monitor work deadlines and correct follower mistakes in a reactive manner. Under the transaction leader, employee job satisfaction is limited. Transactional leadership relies on the organizational status and formal authority to reward or punish performance. Therefore, providing external rewards to stimulate employee/nurse self-interest is a form of transactional leadership. Thus, the statements should approach this manner of transactional leadership.

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The high priority nursing action when a patient with tuberculosis  is suspected in the pulmonary unit is: moving the rest of the patients into the airborne isolation room.

Tuberculosis is the disease of the lungs which is infectious in nature. The droplets that are transferred from one person to another in the form of sneezes and coughs contain the infection. The disease is caused due to the bacteria called Mycobacterium tuberculosis.

Isolation room in the hospitals is the separate ward where patients with infectious diseases are admitted. The environment of the isolation rooms is such that it has high amount of air exchange in order to prevent the rapid spread of the disease.

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Every day, sip 8 to 10 glasses of water. For the first eight hours within a week of removing the Foley catheter, try to urinate every two in order to keep your bladder empty.

Keep the sterile catheter away from everything by grasping it 2 to 3 yards (5 to 7.5 cm) from of the tip. As you insert the catheterization tip, ask the patient to inhale deeply and gently exhale. Move it forward by approximately two to three inches before urine begins to flow. To ensure that it is in the bladder, move it forward additional 1 to 2 inches.

Maintain patient privacy and position them supine. Put a kidney dish or a waterproof sheet between the patient.Don gloves and practice good hand hygiene. If feasible, gently remove the catheter while exhaling, using rotational movements if necessary.

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Surgical therapy (colectomy) course would the nurse expect the primary health care provider to explore with this client.

Surgery comes in a variety of forms. The types vary depending on the operation's goals, the body portion that needs surgery, the volume of tissue to be removed, and, in some situations, the patient's preferences.

Open or minimally invasive surgery are both options.

In an open procedure, the surgeon makes a single, substantial cut to remove the tumour, some surrounding good tissue, and possibly some lymph nodes.

Instead of one huge cut, the surgeon uses a number smaller ones in minimally invasive surgery. She places a tiny camera at the end of a long, thin tube into one of the tiny openings. The laparoscope is the name of this tube. The camera shows the surgeon images from inside the body that are projected onto a monitor.

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Lillian Wald is known as one of the first public health nurses. Her mission was to prevent illness where it started.

C) Placing a nurse at school to reduce absenteeism.

Absenteeism is essentially when employees purposefully avoid reporting to work on a regular basis for a "legitimate cause." Typically, it excludes authorized absences for things like holidays, occasional medical appointments, or illnesses.

But the definition isn't precisely black and dry. This is because absenteeism is frequently attributed to chronic health conditions, burnout, or stress, all of which are real health concerns that may have been brought on by the job in the first place.

If you manage a team or are a team leader, you are undoubtedly accustomed to employee absences.

However, you should address the issue when it starts to happen more frequently and seems excessive.

Employers and employees are equally impacted by absenteeism.

Repercussions for employers:

Reduced output as a result of fewer employees.

Reduced performance, along with lost time working on projects, upgrades, and training.

Decreased team morale, especially if other employees need to pick up the slack.

Higher labor expenses if replacement staff are needed.

Customer satisfaction may decline as a result of understaffing.

Effects on workers:

Returning employees' productivity can suffer as they catch up on unfinished business.

Possibility of losing pay.

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Lillian Wald is known as one of the first public health nurses. Her mission was to prevent illness where it started. What action did she take in the 1900s that most specifically demonstrates this focus?

A- advocating for the poor and homeless to lawmakers

B- founding a community diet and nutrition program

C- placing a nurse at school to reduce absenteeism

D- examining sanitary waste disposal policy in a community

The nurse's best explanation for the problem of beta blockers that clients complain about is "Beta blockers have a lower risk of causing erectile dysfunction because they have intrinsic properties that can prevent erectile dysfunction."

Hypertension is a condition when blood pressure is at 130/80 mmHg or more. If not treated immediately, hypertension or high blood pressure can cause serious life-threatening illnesses, such as heart failure, kidney disease, and stroke.

Beta-blockers (BB) or beta-blockers are known as a class of drugs to reduce high blood pressure (hypertension) which work by blocking beta-adrenergic receptors in the heart, peripheral blood vessels, bronchi, pancreas, and liver. Beta-blockers have a lower risk of causing erectile dysfunction because they have intrinsic properties that can prevent erectile dysfunction.

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The amount you give,  depends on the size of the teaspoon you are using. A teaspoon is a unit of measurement of volume, and it varies between countries, however, in the US, a teaspoon is typically equivalent to 4.93 milliliters.

Guaifenesin is a medication that is used to relieve chest congestion caused by the common cold, flu, or bronchitis. It is typically administered in the form of a liquid syrup and is measured using teaspoons or milliliters.

Therefore, if you are administering two teaspoons of guaifenesin to the patient, you will be administering 9.86 milliliters. However, it's important to check the teaspoon you are using to confirm the measurement before administering the medication.

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The value of health research to society is enormous. It can include useful details on illness trends and risk factors, treatment outcomes or public health actions, functional skills, care patterns, and costs and utilisation of healthcare services.

The different research methodologies offer complementary perspectives. Clinical trials can be used to compare and improve the usage of medications, vaccines, medical devices, and diagnostics by limiting the factors that could affect the study's results and revealing information on the effectiveness and side effects of medical interventions.

An FDA-approved medicine, for instance, may be used by millions of individuals in a variety of contexts after receiving approval. FDA clearance is based on a series of controlled clinical trials, frequently involving a few hundred to a few thousand patients. As a result, monitoring the drug's clinical experience is essential for spotting relatively uncommon side effects and figuring out whether it works in various demographics or situations. In order to create best practises guidelines and guarantee excellent patient care, it is also crucial to record and assess clinical practise experience.

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A client who has been diagnosed with heart failure needs to have his fluid levels closely monitored. In order to monitor fluid intake more carefully, the nurse considers utilizing an intravenous IV pump.

Fluid control is an important part of patient care, particularly in an inpatient situation. The fact that each patient requires careful consideration of their unique fluid needs makes fluid management both tough and exciting. It is unfortunately difficult to treat every patient with a single, ideal formula. To restore any fluid that is lost as correctly as feasible is a general rule that applies to all patient circumstances. These fluid losses can vary in amount and composition depending on the patients' underlying medical problems. For instance, a patient with serious burns who is admitted to the hospital will experience far more fluid losses than a patient who is reasonably healthy and is not allowed to eat or drink anything while they are waiting for a surgery.

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The complete question is:

which client diagnosis should the nurse consider using an intravenous (iv) pump for more careful fluid monitoring? select all that apply.

A thiazide-type diuretic with a history of therapeutic usage dating back more than 50 years is hydrochlorothiazide (HCTZ). It is a generally extremely safe medication that has been used extensively to treat hypertension throughout the world. This sodium chloride co-transporter mechanism is blocked by the action of hydrochlorothiazide on the distal convoluted tubes.

Descriptions. In order to manage high blood pressure, hydrochlorothiazide is used either by itself or in combination with other medications (hypertension). Heart and artery work are made more difficult by high blood pressure. The heart & arteries may malfunction if it lasts a long time.

Hydrochlorothiazide frequently has a side effect called dizziness. When hydrochlorothiazide works as intended, which is to drain your body's fluids and drop blood pressure, it sometimes goes too far in those directions. Your blood pressure may become dangerously low as a result. Dehydration may result from it as well.

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After a group of clients injured in a wildfire are admitted to an emergency unit, the nurse performs disaster management procedures such as Advanced Cardiac Life Support (ACLS).

The managerial function charged with creating the framework within which communities reduce vulnerability to hazards and cope with disasters is known as emergency management or disaster management. Organization, planning, and implementation of measures to prepare for, respond to, and recover from disasters. We respond to disasters before, during, and after they occur, frequently providing assistance in some of the world's most hostile environments. Our disaster management efforts aim to save lives and alleviate human suffering. Disasters are viewed by emergency managers as recurring events with four stages: mitigation, preparedness, response, and recovery. The diagram below depicts the relationship between the four phases of emergency management.

Here,

Following the admission of a group of clients injured in a wildfire to an emergency unit, the nurse performs disaster management procedures such as Advanced Cardiac Life Support (ACLS).

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Regardless of whether a patient is new or old, all locations are open and social distancing is enforced. inpatient orthopedic rehabilitation hospital nearby.

In its most basic definition, this phrase refers to a patient who has been admitted to a hospital for an overnight stay, whether it be short-term or ongoing. In order to more closely monitor these patients, doctors keep them in the hospital.

A person may receive inpatient therapy if they attempt to hurt themselves or others. Additionally, if a person exhibits signs of a mental condition, such as hearing or seeing things that aren't there, they may go. Or, if they are extremely depressed, they might leave. Treatment is sometimes given to assist patients in beginning or adjusting their medication.

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Complete question is:

How to find an inpatient orthopedic rehabilitation facility near me?

Hyponatremia

Hyponatremia stimulates the secretion of aldosterone. Hypoglycemia inhibits the secretion of insulin. Hyperkalemia, not hypokalemia, stimulates the secretion of aldosterone. Hypochloremia is associated with increased levels of antidiuretic hormone.

Hypernatremia, defined as serum sodium levels greater than 145 mEq/L, occurs when there is excessive water loss, insufficient water intake, or excessive sodium gain. This condition causes hyperosmolarity, which causes the patient to be extremely thirsty.

The signs and symptoms of hypernatremia are caused by the movement of water out of the cells, which causes cell shrinkage and dehydration.

SYMPTONS

• Nervousness • Agitation • Lethargy • Excessive thirst • Muscle cramps

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Q A nurse is caring for a client with endocrine problems. Which lab finding will alert the nurse that aldosterone will be released?

1 Hypokalemia

2 Hypoglycemia

3 Hyponatremia

4 Hypochloremia

b) metabolic alkalosis. An excessive amount of bicarbonate in the blood results in metabolic alkalosis. There are some kidney illnesses that can also cause it.

Hypochloremic alkalosis is brought on by a severe deficiency in chloride, such as that which results from protracted vomiting. Diuretic usage and external gastric secretion loss are the most frequent causes of metabolic alkalosis. Bicarbonate levels in bodily fluids are excessive in metabolic alkalosis. Different circumstances can lead to it. It might be brought on by digestive problems that throw off the acid-base balance in the blood, such as frequent vomiting. Spironolactone, an aldosterone antagonist, or other potassium-saving diuretics are used to treat metabolic alkalosis.

The complete question is:

Kathy came to the emergency room with nausea & dizziness. A stat blood test reveals elevated level of bicarbonate in her blood. This suggests she is probably suffering from: a) acidosis b) metabolic alkalosis c) hypoventilation d) hyperventilation e) pregnancy

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Its false that HIPAA allows for the use and  exposure of Protected Health Information( PHI) only in specific circumstances.

HIPAA requires that PHI be used and bared only for the purposes of  furnishing health care, payment for health care, and other purposes as permitted or  needed by law. HIPAA also requires that there be written authorization from the  existent before any PHI can be bared. The sequestration Rule also requires covered  realities to limit the use and  exposure of PHI to the  minimal necessary to  negotiate the intended purpose. Covered  realities must also have applicable safeguards in place to  cover the confidentiality of PHI. also, HIPAA requires covered  realities to  give  individualities with access to their PHI.

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As per RDA, On an average daily level of intake sufficient to meet the nutrient requirements of nearly all (97–98%) healthy individuals.

The Adequate Intake (AI) is about in preference to an RDA if enough clinical proof isn't always to be had to calculate an EAR. The AI is primarily based totally on located or experimentally decided estimates of nutrient consumption with the aid of using a group (or groups) of wholesome people. The AI is anticipated to satisfy or exceed the wishes of maximum people in a particular life-degree and gender group. When an RDA isn't always to be had for a nutrient, the AI may be used because the aim for traditional consumption with the aid of using an individual. The AI isn't always equal to an RDA.

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These recommendations were created to help both the healthcare professional and the coder identify which diagnoses should be reported.

The significance of regular, comprehensive documentation in the medical record cannot be overstated. Accurate coding is impossible without such documentation.

The following are the primary distinctions between ICD-10 PCS and ICD-10-CM: In the United States, ICD-10-PCS is only utilized in inpatient hospital settings, whereas ICD-10-CM is used in clinical and outpatient settings. ICD-10-PCS has approximately 87,000 possible codes, while ICD-10-CM has approximately 68,000.

ICD-10-PCS is designed for use by health care professionals, organizations, and insurance programs. ICD-10-PCS codes are used for reporting, morbidity data, and invoicing in a number of clinical and health care applications.

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The right intervention to be included by the nurse in the plan for the newborn attachment process is the position of the baby that is parallel to the mother and recognizing the early signs of hunger in the baby.

Latching is the moment when the baby takes the nipple and areola (the dark area around the nipple) into his mouth and starts sucking the milk that comes out of his mother's breast.

Correct breastfeeding attachment plays an important role in the smooth process of breastfeeding. If the attachment to breastfeeding is not correct, it will be difficult for the baby to get optimal milk.

Knowledge of breastfeeding needs to be known for mothers who have just given birth because failure to breastfeed can be caused by an error in positioning the baby's head and mouth on the mother's nipple.

So that the initial plan for the attachment process is to position the baby correctly on the nipple and know the early signs of a hungry baby.

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The most common integumentary manifestation in clients with Acquired Immunodeficiency Syndrome (AIDS) is: Pruritic Papular Eruption (PPE).

AIDS is an infectious disease that occurs by the HIV virus. It is a life-threatening disease that severely damages the immune system. Therefore, the body's disease and infection fighting ability is impaired. The disease can be spread through the sharing of used syringes, sexual contact, etc.

PPE is a skin disease characterized by the presence of severely itchy papules on the skin. These papules can evolve into hyper-pigmented nodules in severe cases. The papules consist of deposits of amyloid on the dermis layer of the skin.

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When assessing a client with varicose veins, the nurse would expect to find the presence of ankle edema as a clinical manifestation.

Ankle edema, also known as peripheral edema, is the accumulation of fluid in the lower legs and ankles. This can occur as a result of the blood pooling in the veins, which can cause increased pressure on the blood vessels and lead to fluid leakage into the surrounding tissue. Other clinical manifestations of varicose veins include aching or heavy feeling in the legs, skin discoloration or thickening, and in severe cases, skin ulcers or bleeding. The nurse would also check for pitting edema by pressing on the skin and observing how long it takes for the indentation to disappear. The nurse would also check the client's vital signs, oxygen saturation level and monitor the client's progress and any changes in the client's condition related to edema.

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The community healthcare nurse can effectively represent the client when interacting with diverse cultural groups on medical procedures.

However, the nurse must first be ready to discuss medical procedures and options in a knowledgeable manner. In order to understand what belief system influences the client's or family's choices, the healthcare nurse must be able to effectively examine the client or family. Finally, the nurse must be ready to inform patients on the advantages and limitations of culturally specific medical practises. The community health nurse should never generalise about the client based on cultural group norms and should always individualise evaluation and caring for the client within his or her culture.

The complete question is:

When working with different cultural groups in the area of health care practices, the nurse acts as an effective advocate for the client. Which of the following must the nurse do first?

A) Prepare to teach clients about the limits and benefits of cultural health practices

B) Assess the client or family adequately to ascertain their belief system and choices

C) Individualize caregiving for the client within his or her culture

D) Be knowledgeable about health care practices and choices

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False, Incomplete miscarriage are not complicated by excessive haemorrhage;  dilation and curettage performed.

After a miscarriage, sometimes not the entire pregnancy disappears. When a miscarriage starts, but some pregnancy tissue remains in the womb, it is referred to as an incomplete miscarriage.

Incomplete miscarriage, also referred to as incomplete miscarriage, occurs when a portion of the foetus and placenta remain inside the uterus and have not yet been expelled. Before 10 weeks of miscarriage, the foetus is typically completely expelled; however, after 10 weeks, the foetus and placenta are frequently split apart. Patients with persistent bleeding occasionally experience heavy bleeding, but rarely experience fatal bleeding.

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Complete question:

True or False

Incomplete miscarriage are complicated by excessive haemorrhage;  dilation and curettage performed.

The nurse should document the incident in the client's medical record and complete a separate safety event report.

A safety event aids in the identification of vulnerabilities and safety gaps within systems that allow errors to occur and have an impact on patients. Corrective action is prompted by safety reporting to improve care and patient safety. The incident should be documented in the client's medical record, and a separate safety event report should be completed. A Safety Event occurs when best or expected practice is not followed. If this is followed by serious harm to a patient, then we call it a "Serious Safety Event (SSE)".

Here,

The incident should be documented in the client's medical record, and a separate safety event report should be completed.

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Complete Question:

a nurse is preparing to file a safety event report after a client experienced a fall. which statement is correct regarding the filing of a safety event report?

Providing prompt recognition of the potential or actual threat to safety

Risk for poisoning related to poor eyesight and the inability to read medication labels

The nurse should record the incident in the client's medical record and fill out a safety event report separately

The most important assessment is to assess bowel sounds  before feeding the client.

What is  Bowel sounds ?

The movement of the intestines as they push food through produces abdominal sounds (bowel sounds). Because the intestines are hollow, bowel sounds reverberate through the abdomen like water pipes. The majority of bowel sounds are normal.

The patient is kept NPO until the peristalsis returns, which normally takes 4 to 6 days. Clear fluids are provided to the client when symptoms of bowel function reappear. If there is no distention, the diet is continued as tolerated. The most crucial assessment is to listen to the client's bowel noises before feeding them. Options 2, 3, and 4 have nothing to do with the data in the question.

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Complete question is

The nurse is caring for a client who is post operative following a pelvic exenteration and the health care provider changes the client’s diet from NPO (nothing by mouth)status to clear liquids. The nurse should check which priority item before administering thediet?

1.Bowel sounds2.Ability to ambulate3.Incision appearance4.Urine specific gravity

The knowledge, skills, and attitudes are nursing actions which are based on the competency of quality improvement are regular meeting with the managerial nurses about issues and needs, and client review.

The QSEN competency refers to the collaborative efforts which are needed in the medical field for the employees to work properly. This includes team work, client oriented practices, quality improvement procedures etc. The knowledge, skills and attitude helps in determining the patience level, work ethics and compatibility of the nurses with their fellow nurses, staff and the clients. It is needed that regular checks are made to identify the queries associated with the nurses and also update them with the new policies. These meetings helps in simplifying the issues which lowers down the morale of the nurses.

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The nurse determines that client at high risk for metabolic acidosis are: (2) Clients with diabetes; (4) Clients with kidney failure; (6) Clients with malnourishment.

Metabolic acidosis is the medical condition where accumulation of acids occurs in the body due to some kidney disease or kidney failure. It causes an elevation of acids in the fluids of the body. The symptoms of the disease are: loss of appetite, accelerated heartbeat, nausea, etc.

Malnourishment is the condition where the body of an individual does not consists if all the essential nutrients required for a healthy body. It can happen if a person does not have enough food to eat or if one has unhealthy food habits.

The given question is incomplete, the complete question is:

The nurse determines that which clients are at high risk for metabolic acidosis? Select all that apply.

1.Clients with asthma

2.Clients with diabetes

3.Clients with pneumonia

4.Clients with kidney failure

5.Clients with severe anxiety

6.Clients with malnourishment

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Using a long, thin needle, the procedure to remove the fluid is known as paracentesis. Draining fluid from the peritoneal cavity the area between the abdominal wall and the organs involves abdominal drainage.

The peritoneum in the abdominal cavity produces peritoneal fluid, a serous fluid that lubricates the tissue surfaces lining the abdominal wall and pelvic cavity. Most of the abdominal organs are covered by it. Ascites is the medical term for an increase in peritoneal fluid volume. a fluid produced in the abdominal cavity that coats the majority of the abdominal organs and the tissue that lines the abdominal wall and pelvic cavity.

The complete question is:

During the infusion of dialysate during peritoneal dialysis, the client exhibits symptoms of severe respiratory difficulty. What should the nurse do?

A. Slow the rate of the client's infusion

B. Place the client in a low-Fowler position

C. Auscultate the client's lungs for breath sounds

D. Drain the fluid from the client's peritoneal cavity

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A patient is in refractory ventricular fibrillation. High-quality CPR is in-progress. An anti-arrhythmic drug was given immediately after the third shock. As the team leader i would administer epinephrine drug.

Theoretically, drugs that act as vasopressors, like epinephrine and vasopressin, increase coronary perfusion pressure. During the relaxation phase of CPR, the myocardial blood flow is determined by the coronary perfusion pressure, which is the difference between the aortic and right atrial pressures. The heart rate and left ventricular end diastolic dimension were both increased by epinephrine on its own, while the left ventricular end systolic dimension was decreased.

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It is a useful practice to employ universal screening tools to learn about a student's academic, emotional, psychological, or social requirements.

Tertiary interventions have a rehabilitative and protecting focus. More than 80% of unfavorable outcomes recorded by the WHO are influenced by environmental variables, including infectious diseases, accidents, down's syndrome, and cancer, to name a few.

When a person does not exhibit any symptoms of a condition, a screen test is performed to look for probable health issues or diseases. Early detection, lifestyle modifications, and/or surveillance are intended to lower the risk.

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The night nurse should be given more information regarding the method employed, as this will help the nurse know what to look for in a solution that the client cannot tolerate the prescribed intermittent tube feedings

A way to deliver nutrients directly to the gastrointestinal tract is through enteral feeding. The recommendations in this statement apply to feeding using orogastric, nasogastric, and gastrostomy tubes. Bolus, intermittent feeds, continuous feeds, medication delivery, free drainage and aspiration of stomach contents, stomach venting/decompression, and stenting of the esophagus are all possible uses for enteral feeding tubes.

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