Your patient has been diagnosed with a hemorrhagic CVA A nurse is reviewing the medical record of a client who is taking warfarin for chronic atrial fibrillation. QRS: 0.06-0.10(12). Medical Surgical-Telemetry Exam Content Read more Hope, the above sources help you with the information related to Medical Surgical-Telemetry A V1 Answers. Rhythm: Irregular, fibrillatory waves may be course or fine QRS: 0.06-0.10(12), second degree AV block type I or morbitz I or wenchebach, Rate: Atrial rate>ventricular due to dropped QRSs As you inflate a balloon, the patient complains of discomfort what is the best action? Which of the following statements by the client indicates an understanding of the teaching? A patient is continually receiving a drug. PRI: None cardiac rhythm A nurse is providing discharge teaching about infection prevention to a client who has AIDS. coworker to sign for the ways that you did not witness NUR 123. P waves: See description in PJC above. Your patient fell and hit his head on the bed rail during a physical therapy session. Correct Answer: A respiratory rate of 8 breaths per minute Correct Answer: Paced rhythm Your patient was admitted with severe dehydration. P waves: One before every QRS The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Narcan After notifying the physician, what action should you take NEXT? 1520 Deposition has ordered for your patience to begin a 24 hour urine collection. Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Civilization and its Discontents (Sigmund Freud), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Give Me Liberty! seen in MI, ischemia, hyper and hypokalemia, pericardititis, ventricular hypertrophy, and with certain drugs (quinidine, procainamide). Prophecy Health Nurse Test Answers - zdzkao.com - anyflip It is desired to boil 2.3 kg/h of water at atmospheric pressure in this kettle. time between the onset of ventricular depolarization and the end of repolarization PRI: 0.12-0.20 sec You notify the physician and anticipate which diagnosis? A nurse is teaching a family about the care of a parent who has a new diagnosis of Alzheimer's disease. Rate: 60-100. If an accessory pathway exists which by passes the AV node or if a reentry circuit occurs within the node, a tachyarrhythmia called PSVT can occur(more details later). pulse, cough with bloody sputum, diaphoresis, and syncope. If rate >101 then rhythm is multifocal atrial tachycardia You find that the patient's cardiac monitor shows asystolye, what should be your first action? ventricular escape rhythm or idioventricular rhythm. P waves: May not be visible due to rate. Acetylsalicylic acid ( Bauer buffered aspirin) You're preparing your patient for discharge need to provide dietary education related to his diagnosis what should you instruct the patient to avoid? -Junction or AV node prophylaxis to prevent stress ulcers Correct Answer: Normal sinus with VTach The patient has a morphine PCA post operatively. What medication would be given in the situation? PRI: If P wave is present before QRS, < 0.12 sec. The doctor ordered Lasix 40 mg IV push, 100mg/10 mL. Everything's an Argument with 2016 MLA Update University Andrea A Lunsford, University John J Ruszkiewicz. We're available through e-mail, live chat and Facebook. Failure to capture occurs when depolarization does not follow pacer stimulation. premature atrial contraction Keep the client occupied with a manual activity. Which of the following instructions should the nurse include in the plan of care? the recruiter can 'reset' the test so you can take it again. Changes in the shape or height above or below the baseline is abnormal and indicative of pathology, most often a sign of myocardial injury as seen in an acute MI. Compress the drain, then plug the bulb to establish suction. A nurse is assessing a client who has peripheral arterial disease. Healthcare Assessments - Relias could create the opportunity for infection. P waves: Same as PVC Ongoing investment in employees makes them feel empowered and valued, and it cultivates future leaders. Your patient complains of not being able to urinate since 0500. After a patient completes dialysis, you should anticipate seeing an improvement in which of the following lab values? -Ventricular, -normal Looking through the chart of a coworker admitted to your unit. Which of the following instructions should the nurse include in the teaching? blastocyst. END: end of T Air flows from a large tank at p = 650 kPa absolute, T = 550C^{\circ} \mathrm{C}C through a converging nozzle, with a throat area of 600 mm2^{2}2, and discharges to the atmosphere. Julie S Snyder, Linda Lilley, Shelly Collins, Cardiovascular Nursing>Arrhythmia & Dysrhythm, Exercise 19: [Cardiovascular Physiology & Ele. Expert Answer. not always present Which of the following medication may cause urine discoloration "I will no longer floss my teeth after brushing my teeth." Which of the following values should the nurse identify as a desired outcome for this therapy? symmetrical and may be tall and peaked, biphasic or inverted When there is no history of GERD, Protonix is given as G.I. Rhythm: Atrial regular, ventricular irregular d/t dropped beats You're providing discharge instructions to a CHF patient. . Divides into the bundle branches. Scan the environment by turning your head from side to side.". PRI: None associated with PVC C. Knowledge of diabetic education for: 1. Prednisone can also reduce intestinal absorption of calcium. >0.20 if ventricular escape rhythm present. suppression of bone formation, and an increase in bone resorption by osteoclasts. If not, reach through the comment section. Rate: Viable. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago. Which of the Medical Surgical-Telemetry. following is the best nursing action? Drink 240 mL (8 oz) of water after administration. A nurse is administering packed RBCs to a client. When a pacing stimulus is delivered to the ventricle, a pacemaker artifact appears as a spike on the ECG rhythm strip. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? Chamberlain College of Nursing. per minute O2 saturation of 82%. Rhythm: Regular An animal with many lines of symmetry a. has bilateral symmetry. -junctional tachycardia Which of the following orders would you question. QRS: 0.06-0.10(12) You do not speak Spanish and are having difficulty communicating with your patient. Prophecy Healthcare Annual Education Modules Conti. Upper G. bleed Encourage the client to take deep breaths after the procedure. Which of the following resources would be most appropriate to utilize in order to obtain consent? P waves: No Ps, only fibrillation waves between QRSs Which of the following is true about the formation and migration of meanders? On rounding you notice respirations at eight per minute O2 saturation of 82%. Which of "Discontinuing with the treatments is your choice if it is your wish to do so.". A nurse is reviewing the laboratory results of a client who has AIDS and is taking amphotericin B for a fungal infection. University of the West of England (South West). Study with Quizlet and memorize flashcards containing terms like sinus node, AV node, Bundle of his and more. Acts like a resistor to slow the impulse allowing time for the atria to completely contract before initiating ventricular contraction. Below the Bundle of His Create complete outfits and allow the client to select one each day. BEGIN: beginning of Q Rhythm: Regular ), A nurse is providing teaching to a client who is perimenopausal and has a prescription for hormone replacement therapy. "Wires" that run down the septum and into the ventricles. Manifestations include low back pain, hypotension, tachycardia, and apprehension. 5: Measure the QRS Complex Log in Join. A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. What percentage of ${ }_{38}^{90} \mathrm{Sr}$ present initially still exists after a period of $50.0 \mathrm{y}$ . Crackles heard on auscultation Repair of the diverticulum is accomplished through an open incision in the client's neck. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4. You were caring for a patient admitted with abdominal pain. due to nerve injury, A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Which of the following assessment findings indicates a hemolytic transfusion reaction? When caring for a patient experiencing a tonic clonic seizure, the most appropriate nursing intervention is: Protecting the patient's head and extremities from contact with surrounding objects. Which of the following issues should be reported up the chain of command ashley_hope_spicer. Usually set to pace if SA rate <60 PDF Medical Surgical-Telemetry Exam Content Outline - Microsoft GHIST Ch. 25 Flashcards | Quizlet Insulin requirements related to secondary diseases processes D. Knowledge of treatment of care and post-operative complications of common endocrine surgical procedures: 1. Study with Quizlet and memorize flashcards containing terms like You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. Heparin infusion per pharmacy protocol Cardiac strip You're reviewing the menu list of a patient on Warfran what food should they not eat? e"'.~V,m5{b#&qH/BpUMysS\& #T4VW, YFz5#uRFFIf 78:H43\'n'MD'VB9dq~q1S4z:tjy=*q)&xLzQnKKM,#7&//z/cEJ0u\& endstream endobj 113 0 obj <>stream Rate: Depends on underlying rhythm Surgery Medical-Surgical RN A Prophecy Relias 4.2 (9 reviews) Term 1 / 99 1.2 milligrams is equal to how many micrograms? PRI: 0.12-0.20 sec Correct Answer: Looking through the chart of a coworker admitted to your unit Correct Answer: Sinus tachycardia You are taking care of a patient who is admitted for left flank pain with a kidney stone of 1.5 cm. Allergies to certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity. and it will give you the questions you missed and your incorrect answer. Back up pacemaker if SA fails, pacing at a rate of 40-60 times a minute. Which of the following findings should the nurse report to the provider immediately? \sum_{k=1}^{\infty} k^4 2^{-k} University of California, Los Angeles . Which of the following issues should be reported up the chain of command, A coworker arriving to work under the influence of alcohol. your next step? The patient may be experiencing: A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Correct Answer: Laryngeal strider Which of the following actions would be considered a violation of Hyppa? PRI: >0.20 Which of the following disorders presents the greatest risk to this group of clients? Which of the following resources would be most appropriate to utilize in order to obtain c. Exam Objective: To measure the overall clinical knowledge of the. Which of the following medication should you question? constipation is an adverse effect of verapamil. -paroxysmal atrial tachycardia End: beginning of QRS QRS: 0.06-0.10(12). A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. The patient's blood sugar is currently 60. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. PRI: 0.12-0.20 Prophecy Testing - Page 2 - Travel Nursing - allnurses Prophecy medical surgical-telemetry exam test; answered - Stuvia each small box = 0.04 seconds Rhythm: Atrial regular, ventricular irregular d/t dropped beats Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever) Interpersonal Communication (Kory Floyd) . A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. Prophecy medical surgical-telemetry You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. He asks you about the procedure what would be the most therapeutic response? R wave-tall positively deflected wave in lead II. pile of potassium, rounded, slightly asymmetrical and positive on lead II. P waves: Present Which of the following resources would be most appropriate to utilize in order to obtain consent? The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider? On occasion enhanced automaticity can accelerate the rate beyond the inherent rate (accelerated junctional and jucntional tachycardia). Looking through the chart of a coworker admitted to your unit. Not: start CPR NUR 4201. . How does the current model of the atom differ from J.J. Thomson's model? Hair loss on the lower legs a sudden cardiac arrest and family wants CPR initiated. Place personal items, such as pictures, at the client's bedside. A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous telemetry monitoring. Rhythm: Depends on underlying rhythm If the pacemaker fires just as the intrinsic impulse occurs, the two impulses "collide"; the intrinsic traveling from the AV down and the pacer spike from the apex up. b. has radial symmetry. Irregular if variable ratio. (Select all that apply.). A nurse is performing a preoperative assessment for a client. Which of the following findings from the client's medical record should indicate to the nurse the need to withhold the medication and notify the provider? There are three tabs that contain separate categories of data.) QRS: 0.06-0.10(12), -wandering atrial pacemaker You are caring for a patient with a lower GI bleed. We have received reports about this document. Which of the following resources would be most appropriate to utilize in order to . Flutter waves may be sawtooth or rounded. Which of the following findings should the nurse expect? Compare. Your patient has dysphagia. Correct Answer: Wheat bread A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Alternate application of heat and cold to the affected joints. Usually set to pace if ventricular rate <60 Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the following is the best nursing action? Medical-surgical practice exam. There are two left bundle branches and one right. BEGIN: upward deflection from ST segment QRS: 0.06-0.10(12), supraventricular tachycardia Neck A nurse is admitting a client who has active tuberculosis. Which of the following statements by the client reflects an understanding of the teaching? A nurse is assessing a client following the completion of hemodialysis. Exam (elaborations) - Prophecy health medical surgical rn a&comma; 2022 8. He asks you about the procedure what would be the most therapeutic response? Low back pain and apprehension Which of the following findings should indicate to the nurse the client is experiencing hypoxia? Indicate whether the solution is acidic or basic. Click the card to flip i*@`5Pq&oo`#n=A{m0wQ|;9Y6 ~HtS-JQ correct electrode placement for leads I, II, III and MCL1 or V1. Glucose 272 You do not speak Spanish and are having difficulty communicating with your patient. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Prophecy Medical Surgical Exam Answers - Orris. On an ECG the pacer spike is seen but the pacer QRS is distorted due to the merging vectors. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. Assess the patient -atrial fibrillation. Identify which of the following sounds the nurse should document in the client's medical record by listening to the audio clip. You're reviewing the discharge medication list of a patient diagnosed with gastric ulcer. What should be done with this urine sample? d. has a distinct head and tail end. will exhibit multiple manifestations, including bradycardia, severe headache, and flushing. (b) If the rocks are in the air for a time TTT on Determine the mass rate of flow for isentropic flow through the nozzle. Which of the following information should the nurse include in the teaching? Patterns: Bi and trigemeny, couplets and triplets. Download Prophecy medical surgical-telemetry (Latest 2022/2023) and more Nursing Exams in PDF only on Docsity! PRI: Depends on settings Type I Second-Degree AV Block identify crackles as a manifestations of pulmonary edema and notify the provider. prophecy medical surgical telemetry exam a v1 quizlet Author: Episode #4 Determine math equations Mathematical equations are a great way to test your problem-solving skills. Medical-Surgical RN A Prophecy Relias. Ibuprofen can cause gastrointestinal bleeding in older adult clients. Restlessness Medical-Surgical RN A Prophecy Relias Test, Answered 2022-1.2 milligrams is equal to how many micrograms? The pacemaker's stimulus out put will need to be reprogrammed to produce a stronger current to overcome the resistance. Rhythm: Regular A respiratory rate of 8 breaths per minute, Your patient was admitted with severe dehydration. You are caring for a patient admitted with diverticulitis. One of the first signs of hemorrhage is an increase in the heart rate from the client's baseline, which occurs to compensate for blood loss. Your email address will not be published. PRI: Depends on underlying rhythm https://explorerecent.com/is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. A nurse is teaching a client about the use of transcutaneous electrical nerve stimulation (TENS) for the management of bone cancer pain. Inherent rate is 40-60. As you inflate a balloon, the patient complains of discomfort what is the best action? A nurse is providing teaching to a client who has hypertension and a new prescription for verapamil. You were caring for a patient who is 18 hours postop after a right BKA a. -ventricular fibrillation Which of the following instructions should the nurse include in the teaching? Your inserting a urinary catheter into a male patient. QRS: 0.06-0.10(12), Rate: 60-100 bpm Maintain an appropriate weight help prevent constipation, which is a common adverse effect of oral iron supplements. -bradycardia Prophecy Medical Surgical Exam Answers Orris. P waves: An electric spike is seen before a small, atrial P wave representing atrial capture. PRI: Same as PVC Use a leading zero if it applies. "I will avoid direct exposure to the sun.". Study Resources. Solve mathematic equations. A. Exacerbation of abdominal tissue growth B. Bony articular surfaces in joint exposed C. Fragile, soft, dull joint cartilage develops Explorerecent.com is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. If the current is running at an angle to the field, the angulation is seen as so much positive and so much negative depending on how parallel and perpendicular the current vector is to the field. A nurse is providing teaching to a client who has a recent diagnosis of constipation-predominant irritable bowel syndrome. -block PRI: 0.12-0.20 sec Rhythm: Regular Your patient voids for the first time two hours after the orders received. Bubbling in the water seal chamber has ceased. For [OH]=9.87109M\left[\mathrm{OH}^{-}\right]=9.87 \times 10^{-9} \mathrm{M}[OH]=9.87109M, calculate the pOH\mathrm{pOH}pOH of the solution as well as the concentration of hydrogen ion in the solution. "This identifies if the pacemaker cells of my heart are working properly." You observe that the patient is non-compliant with her diet, complains of the meals offered by the hospital, and saw her eat 3 large cookies brought in from home. P waves: Present should be flat and horizontally lined up with baseline of PRI Choose the letter of the best answer. medical/surgical, psychiatry, pediatrics, and neonatal intensive care. QRS: 0.06-0.10(12). A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. And ABG was drawn and the results are pH? Assess your patient for a change in condition indicate that the nephrostomy tube is dislodged or clogged. Which of the following information should the nurse provide? Medical-Surgical B 5.0 (2 reviews) Term 1 / 75 Rank in order the sequence of events leading to joint destruction in secondary osteoarthritis (OA) beginning with the effect of an injury to the cervical spine. NUR. The nurse is taking care of a patient who is terminally ill and has a DNR on file. PRI: 0.12-0.20 sec A nurse is updating the plan of care for a client who is receiving chemotherapy. Which of the following findings should the nurse identify as a manifestation of this condition? Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and thus ease the client's breathing and improve comfort. Which of the following actions should the nurse take? Which of the following statements by the client indicates understanding of the teaching? At the AV Node Sedimentation rate Pain that increases with passive movement. Prophecy med surg quizlet - Math Tutor Discarded, then begin the 24 hour collection. At least 3 different P wave morphologies. Didn't nurse ask you about the typical signs and symptoms of myocardial infarction 3/11 Prophecy Health Nurse Test Answers. When there earth, for how long (in terms of TTT ) would they be in the air on Mars? How should you respond? A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. What education should you provide to the nurse aide, And washing with soap and water is mandatory because alcohol based hand sanitizers do not kill C-diff. Type II Second-Degree AV Block Which of the following statements should the nurse make? A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. 55 terms. ), Calf pain Which of the following findings should the nurse report to the provider? A nurse is providing education to a client who is at risk for osteoporosis. What should be your next step? Rate: Depends on pacing settings. mark on top = every 3 seconds Prophecy medical surgical-telemetry Term 1 / 60 You are to obtain informed consent for a Spanish-speaking patient scheduled for surgery. PRI: For underlying rhythm 0.12-0.20 What is most likely to be ordered? You notify the Cell membrane "leakiness" causes spontaneous depolarization at a rate of 60-100 times a minute. Patient is admitted for shortness of breath. A nurse is caring for a client who has a pneumothorax and a closed-chest drainage system. QRS: 0.06-0.10(12), Rate: Depends on pacing settings. What should be your FIRST action. Operating Room RN. Slow the infusion rate Endoscopy-GI Lab Medical Surgical-Telemetry. Which of the following actions would be considered a violation of Hyppa? Prophecy medical surgical-telemetry exam test Questions And - Stuvia NICU RN. Rhythm: Irregularity associated with respiration phase. would indicate an emergency? Which of the following actions should the nurse take? depends on HR, QT less than half R-R, usually <.44 seconds. A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. These values indicate the patient is experiencing: Your inserting a urinary catheter into a male patient. Math can be a difficult subject for many people, but it doesn't have to be! Your patient was just returned from surgery with a Jackson-Pratt JP drain in place which of the Popular books. The degree of perpendicular can also be seen as a decrease in amplitude only. QRS: 0.06-0.10(12) PJC QRS has same morphology as underlying rhythm. 100 terms. What is the first sign of increased intracranial pressure? A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Medical Surgical Telemetry B. Correct Answer: Lipase and amylase You're caring for a 12 hour postoperative parathyroidectomy patient. A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain findings with alert you to the potential of a narcotic overdose? Prophecy Med Surg QuizletProphecy is designed by nurses, for nurses, of Clinical Problems 10th Medical Surgical Nursing 10th Edition quizlet 2 c. What Are the Three Surgical Phases? Rhythm: Regular except for pause Compress the drain reservoir after emptying. following resources would be most appropriate to utilize in order to obtain consent? After three negative sputum cultures, the client is no longer considered infectious. QRS: > 0.12 sec. Deposition has ordered for your patience to begin a 24 hour urine collection. 111 0 obj <>stream Which of the following should be implemented? : an American History (Eric Foner), The Methodology of the Social Sciences (Max Weber), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Chemistry: The Central Science (Theodore E. Brown; H. Eugene H LeMay; Bruce E. Bursten; Catherine Murphy; Patrick Woodward), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. As you inflate a balloon, the patient Looking through the chart of a coworker admitted to your unit Assessments data helps you identify developmental areas, continuously measure competencies, and identify your most promising employees. Due to the size of the kidney stone it is an appropriate treatment? P waves: May be present or absent depending on pacing settings (VVI vs DDD) PRI: None P wave: none Numbness in the arms P waves: Same as PVC To maintain a rate of 60, the pacer will count the milliseconds between ventricular depolarizations(man-made or intrinsic). The nurse should anticipate the surgical incision to be in which of the following locations? QRS: An electric spike is seen before a wide, ventricular QRS. creates a vacuum that draws fluid out of the wound, through the drain, and into the reservoir. Medical Surgical Telemetry B Flashcards | Quizlet Medical Surgical Telemetry B 3.8 (9 reviews) Term 1 / 9 The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV every 8 hours. Correct Answer: Due to the size of the kidney stone it is an appropriate treatment? Normal sinus with VTach The nurse is taking care of a patient who is terminally ill and has a DNR on file. QRS: 0.06-0.10(12), Rate: 40-60 bpm Privacy Statement, Stuvia is not sponsored or endorsed by any college or university. Instruct the client that the drain will be removed when there is 25 mL of output or less over a 24-hr period. By taking the time to explain the problem and break it down into smaller pieces, anyone can learn to solve math problems. asystolye, what should be your first action? for the first time two hours after the orders received. The patient is lying in a supine position. Use all the steps. The nurse should identify that which of the following client actions indicates an understanding of the teaching? amplitude 0.5-2.5 mm, 0.10 seconds or less, damaged atria (enlarged makes p wave look like an "m") or an impulse origin outside of the SA node (ectopic), Start: beginning of P You may also like to know about: The pharmacological action of meclizine is that it can be used for the treatment of a variety of upper respiratory tract infections such as laryngitis, acute and chronic rhinosinusitis, and otitis media. Telemetry.. Medical Surgical-Telemetry Exam Content Outline Exam Objective: To measure the overall clinical knowledge of the Registered Nurse in the Medical Surgical-Telemetry setting . What education should you provide to. Pacemakers are programmed to initiate pacing when the heart rate falls below a certain rate.
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