A perioperative urine output goal of 0.2 mL/kg/h is non-inferior to the standard goal of 0.5 mL/kg/h and results in significant intravenous fluid sparing.
This target should be used in surgical patients who do not have any significant risk factors for kidney injury. The low group received 3170 mL (95% confidence interval 2380-3960) intravenous fluids versus 5490 mL (95% confidence interval 4570-6410) in the standard group (P = 0.0004), and was non-inferior for neutrophil gelatinase-associated lipocalin [14.7 g/L (interquartile range 7.60-28.9) vs 18.4 g/L (interquartile range 8.30-21.2); Pnoninfer After surgery, effective renal plasma flow increased in both groups, but more in the standard group (Pnoninferiority = 0.125).
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while assessing a client, the nurse discovers the client has a history of restless leg syndrome. which hematological condition does the nurse associate with this condition?
Answer:
She has to take it
Explanation:
to the way it will make the client configured
The nurse learns a client has a history of restless legs syndrome when assessing the patient. The nurse relates this condition to a hematological disorder called iron deficiency anemia.
Up to 24% of people with iron deficiency anemia experience restless legs syndrome often. A syndrome is a collection of symptoms and indicators that are related to one another in medicine and frequently point to a specific illness or problem. The Greek letter v, which means "concurrence," is where the word originates. A syndrome becomes a disease when it is linked to a known cause. In some cases, a syndrome's relationship to pathogenesis or cause is so close that the terms "syndrome," "disease," and "disorder" are all used to refer to it. The substitution of nomenclature frequently muddles the truth and meaning of medical diagnosis. In particular, this is true with inherited syndromes. Dysmorphic, which typically pertains to the face gestalt, is a description given to about one-third of all phenotypes reported in OMIM. In spite of their designation as syndromes, conditions including Down syndrome, Wolf-Hirschhorn syndrome, and Andersen-Tawil syndrome are known pathogeneses; hence, these conditions are more than merely a collection of symptoms. Other times, a syndrome is not connected to a single condition. Premotor syndrome, for instance, can be brought on by numerous brain lesions, toxic shock syndrome can be brought on by various poisons, and a premenstrual syndrome is just a group of symptoms rather than an illness.
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the nurse notes that an older adult client’s tactile sensation is intact and smell and taste function is within normal limits. what should the nurse consider as being the reason for these assessment findings?
Explanation:
write a 10-sentence narrative about what situations can one generation learn from another using proper capitalization and punctuation.
an older adult patient is experiencing slurred speech, vertigo, left-sided facial paralysis, and lethargy. which condition should the nurse suspect is most likely occurring in the patient?
An older adult patient is experiencing slurred speech, vertigo, left-sided facial paralysis, and lethargy and the condition which the nurse should suspect and is most likely occurring in the patient is ischemic stroke.
An ischemic stroke happens once the blood offer to a part of the brain is interrupted or reduced, preventing brain tissue from obtaining atomic number 8 and nutrients. Brain cells begin to die in minutes. A stroke could be a medical emergency, and prompt treatment is crucial. Early action will scale back brain harm and different complications.
Symptoms of ischemic stroke include sudden numbness or weakness of the face, arm or leg, especially on one side of the body, sudden confusion and slurred speech and trouble walking, sudden dizziness, loss of balance or coordination headache with no known cause.
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quizlet the nurse should anticipate they will need to teach the newly diagnosed multiple sclerosis client how to give injections if they are prescribed which medication to assist with reducing exacerbations?
Interferon-beta helps in modifying the course of treatment of Multiple sclerosis.
Multiple sclerosis (MS) is an autoimmune-based chronic inflammatory disease of the central nervous system that primarily targets myelin components while also affecting axons and neurons. While acute demyelination manifests as clinical relapses that may completely or partially resolve, chronic demyelination and neuro axonal damage cause neurological symptoms that are permanent and irreversible and frequently worsen with time.
TREATMENT
Interferon beta -1a belongs to the class of immuno modulators used in multiple sclerosis. In those with relapsing-remitting MS, interferon beta reduces exacerbations. It is a cytokine that strengthens the immune system and Injections are used to administer it. It aids in reducing inflammation and avoiding the nerve damage that leads to MS symptoms.The other MS drugs include plasmapheresis, corticosteroids, and mitoxantrone. although not by injection.
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the parents of a neonate with a cleft lip are shocked when they see their child for the first time. which nursing action should the nurse include in the neonate’s plan of care to help the parents accept their newborn’s anomaly?
Cleft lip and/or palate babies require specialised treatment from a group of medical specialists. Due to the challenging medical, surgical, dental, and social elements that influence treatment decisions, their care must be properly handled.
Nurses, social workers, nutritionists, audiologists, speech-language pathologists, geneticists, paediatricians, dentists, orthodontists, and pediatric surgeons typically make up the cleft/craniofacial team (otolaryngologists, oral and maxillofacial surgeons, and plastic surgeons). These service providers are aware of typical worries and are equipped to address parents' inquiries.
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eeusen jw, donato lj, kopecky sl, vasile vc, jaffe as, laaksonen r. ceramides improve atherosclerotic cardiovascular disease risk assessment beyond standard risk factors. clin chim acta. 2020;511:138–142. doi: 10.1016/j.cca.2020.10.005
Ceramides are bioactive lipids that function as auxiliary signaling molecules for intra- and intercellular communication. Increased plasma ceramide concentrations are linked to a number of comorbidities and risk factors for atherosclerotic cardiovascular illnesses, such as obesity, insulin resistance, and diabetes mellitus.
Ceramides have also been found to be substantially abundant in atherosclerotic plaques. Ceramide content increases may hasten the development of atherosclerosis by encouraging LDL infiltration into the endothelium and aggregation within the intima of arterial walls.
Numerous clinical investigations have repeatedly demonstrated their independent predictive usefulness for future cardiovascular events over and beyond LDL cholesterol and other conventional risk markers. As a result, ceramide testing using a mass spectrometer provides a straightforward, repeatable, and affordable blood test for determining risk in atherosclerotic cardiovascular illnesses.
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a client receiving tube feedings to the duodenum develops nausea, cramping, and diarrhea. for which condition should the nurse plan care for this client?
Ask your doctor or other healthcare professional before using a milk-free formula.
People who cannot acquire enough nourishment by eating can get nutrients through a feeding tube as part of a therapy called tube feeding. To provide liquid nourishment straight into the stomach or small intestine, a flexible tube is introduced through the nose or abdominal region. A feeding tube is a medical tool used to give nourishment to patients who are unable to eat by mouth, cannot swallow securely, or require nutritional support. Gavage, enteral feeding, or tube feeding are all terms for the act of feeding oneself with a feeding tube.
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an infant with developmental dysplasia of the hip is placed in a pavlik harness. what instructions should the nurse include in a teaching plan for the parents?
the nurse in a pediatric cardiovascular clinic is talking with the father of a 5-year-old child who underwent cardiac surgery for a heart defect at the age of 3. the father reports that the child has been having increased shortness of breath, tires easily after playing, and has been gaining weight. the nurse is aware that the child is most likely demonstrating symptoms of which acquired cardiovascular disorder?
The nurse is aware that the child is most likely suffering from heart failure, an acquired cardiovascular disorder.
Heart failure occurs when the heart muscle fails to adequately pump blood. Blood frequently backs up, causing fluid to accumulate in the lungs and legs (congestion). Shortness of breath and swelling of the legs and feet can result from fluid buildup. The skin may appear blue due to a lack of blood flow (cyanotic). Heart failure is a chronic condition that cannot be cured for the vast majority of people. However, treatment can help keep the symptoms under control for many years. Healthy lifestyle changes are the primary treatments.
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a nurse is preparing to administer a prescribed dose of digoxin to an 6-month-old infant. after assessing the infant's apical pulse, the nurse decides to withhold the dose and notify the health care provider. the nurse bases this decision on which apical pulse rate?
The nurse decides to withhold the dose and notify the health care provider after assessing the infant's apical pulse. The nurse bases her decision on an apical pulse rate of 80 beats per minute.
The apical pulse is a chest pulse point that provides the most accurate reading of your heart rate. The apex beat is also known as the point of maximal impulse (PMI). An adult's normal apical pulse rate ranges from 60 to 90 beats per minute. 2. The apical pulse is a measurement of the heartbeat at the apex or top point of the heart, just under the left breast (at the fourth to fifth intercostal space). This suggests that the apical pulse method is a faster and more accurate way of locating the pulse in an infant , should be used during cardiopulmonary resuscitation.
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section on clinical pharmacology and therapeutics; committee on drugs, sullivan je, farrar hc. fever and antipyretic use in children. pediatrics. 2011 mar;127(3):580-7. doi: 10.1542/peds.2010-3852. epub 2011 feb 28. pmid: 21357332.
One of the most typical clinical symptoms treated by paediatricians and other healthcare professionals is a child's fever, which is frequently a source of worry for parents.
Many parents give antipyretics to their children even when they have little to no fever because they feel that the child has to keep a "normal" temperature.
However, fever is a physiological mechanism that helps the body fight infection and is not the main sickness. There is no proof that fevers themselves make illnesses worse or lead to long-term brain issues.
Therefore, rather than concentrating on bringing the child's body temperature back to normal, the primary goal of treating the febrile child should be to enhance the child's general comfort. counselling a feverish child's parents or guardians.
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lee, a pharmacist in a hospital, is working in the discharge pharmacy filling medications for patients who are going home. he sees a prescription for ciprofloxacin, an antibiotic, and asks his pharmacy technician, sean, to fill it quickly, as the patient is waiting and anxious to leave. sean hurries to the shelves and reaches for the ciprofloxacin; however, he accidently grabs levofloxacin, an antibiotic in the same class that covers most, but not all, of the same types of infections.
Since Lee accidently grabs levofloxacin, an antibiotic in the same class that covers most, but not all, of the same types of infections, the error is known to be an example of option B: Slip type of error.
What exactly is a slip-up?Slips are errors brought on by transient conditions such a learner being exhausted, anxious, eager, or distracted. They are comparable to mistakes that arise from a learner's ignorance. Slips are sometimes referred to as errors.
Slips and Lapses are the names for execution errors. They are the outcome of errors during an action sequence's execution and/or storage phases.
Therefore, Slips typically include attentional or perceptual impairments and relate to discernible behaviors. Less external events occur during lapses, which typically involve memory problems.
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See full question below
Lee, a pharmacist in a hospital, is working in the discharge pharmacy filling medications for patients who are going home. He sees a prescription for ciprofloxacin, an antibiotic, and asks his pharmacy technician, Sean, to fill it quickly, as the patient is waiting and anxious to leave. Sean hurries to the shelves and reaches for the ciprofloxacin; however, he accidently grabs levofloxacin, an antibiotic in the same class that covers most, but not all, of the same types of infections.
This is an example of what type of error?
Mistake
Slip
Lapse
Violation
a client with multiple sclerosis is being discharged. the nurse understands that living with chronic conditions imposes many challenges, including the need for which accomplishments? select all that apply.
Alleviate and manage symptoms and Validate individual self-worth and Validate family functioning.
What does the word "chronic" mean?A ailment that lasts for a year or longer, requires continuous medical care, restricts daily activities, or both is often referred to as a chronic disease. The main causes of death and disability everywhere are chronic diseases like diabetes, cancer, and heart disease.
What is an example of a chronic illness?A disease or ailment that typically lasts three months or longer and has the tendency to deteriorate over time. The incidence of chronic diseases, which are typically treatable but irreversible, is higher in the elderly. The most prevalent chronic conditions are arthritis, cancer, heart disease, and diabetic.
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1. borschel mw, ziegler ee, wedig rt, oliver js. growth of healthy term infants fed an extensively hydrolyzed casein-based or free amino acid-based infant formula: a randomized, double-blind, controlled trial. clin pediatr. 2013;52(10):910-917.
Infant should be fed an extensively amino acid based infant formula.
organic substances that possess both amino and carboxylic acid functional groups are known as amino acids. Although hundreds of amino acids exist in nature, the alpha-amino acids that constitute proteins are by far the most significant. The genetic coding contains only 22 alpha amino acids.
The IUPAC-IUBMB Joint Commission on Biochemical Nomenclature[6] formally names amino acids in terms of the hypothetical "neutral" structure illustrated in the picture. The systematic term for alanine, for example, is 2-aminopropanoic acid, based on the formula CH3-CH(NH2)-COOH. Amino acids are categorised as alpha- (-), beta- (-), gamma- (-), or delta- (-) amino acids based on the placement of the primary structural functional groups; other classifications relate to polarity, ionization, and side chain group type (aliphatic, acyclic, aromatic, containing hydroxyl or sulfur, etc.).
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a nurse is assessing a client receiving tube feedings and suspects dumping syndrome. what would lead the nurse to suspect this? select all that apply.
Tachycardia, Diarrhea, Diaphoresis can lead the nurse to suspect this syndrome
Tactile signs such as tachycardia, feeling hot, sweating, nausea, diarrhea, and other hyperglycemic symptoms may be present in the diagnosis of dumping syndrome. A condition known as "dumping syndrome" occurs when food, particularly sugar, moves too quickly from the stomach to the duodenum. Another name for it is fast gastric emptying. It might be one of the side effects of a stomach or esophageal operation. It might be a later dumping that takes place 2 to 3 hours after a meal or an early dumping that occurs 10 to 30 minutes after a meal.
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complete question:
a nurse is assessing a client receiving tube feedings and suspects dumping syndrome. what would lead the nurse to suspect this? select all that apply.
Tachycardia
Diarrhea
Diaphoresis
when a nurse is assessing a client with osteoarthritis, which assessment findings does the nurse consider consistent with this disorder? select all that apply.
a client has massive bleeding from esophageal varices. in what order from first to last should the interprofessional team provide care for this client? all options must be used.
Since the client has massive bleeding from esophageal varices, the order should the nurse and care team provide care from this client Aare:
3. Maintain a patent airway.
4. Control hemorrhaging.
2. Replace fluids.
1. Relieve the client's anxiety
What takes place when esophageal varices burst?Esophageal varices are the name for the enlarged veins. Esophageal varices have the potential to rupture and release blood. This may result in serious bleeding and other potentially fatal problems. This is a medical emergency when it occurs.
Therefore, when a clot or scar tissue in the liver blocks normal blood flow to the liver, esophageal varices can form. Blood enters smaller blood arteries, which are not intended to carry high amounts of blood, to circumvent the blockages. The blood vessels have the potential to burst, causing life-threatening bleeding.
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A client has massive bleeding from esophageal varices. In what order should the nurse and care team provide care from this client?
1. Relieve the client's anxiety
2. Replace fluids
3. Maintain a patent airway
4. Control hemorrhaging
when a client with croup is admitted to the facility, a physician orders treatment with a mist tent. as the caregiver attempts to put the client in the crib, the client cries and clings to the caregiver. what should the nurse do to gain the client's cooperation with the treatment?
a nurse cares for a client with a chronic illness who has a diagnostic workup for the illness and announces the diagnosis to friends and family. according to the trajectory model of chronic illness, what phase is the client displaying?
Answer:................................
Explanation:
a client has received a diagnosis of oral cancer. during client education, the client expresses dismay at not having recognized any early signs or symptoms of the disease. the nurse tells the client that in early stages of this disease:
Answer:
it's true
Explanation:
cause coming up withan idea is more like working on fire
a client tells that nurse in the doctor’s office that her friend developed high blood pressure on her last pregnancy. she is concerned that she will have the same problem. what is the standard of care for preeclampsia?
The standard of care for preeclampsia is frequently detected during normal prenatal visits when your healthcare practitioner examines your weight growth, blood pressure, and urine.
When preeclampsia is suspected, your doctor may:
Additional blood tests to monitor kidney and liver function should be ordered.
Suggestion: collect urine for 24 hours to check for proteinuria.
Perform an ultrasound and other monitoring to determine the size and amniotic fluid content. Preeclampsia is classified as moderate or severe. If you have high blood pressure as well as high quantities of protein in your urine, you may be diagnosed with mild preeclampsia.
Preeclampsia is a pregnancy-specific illness that complicates up to 8% of all births globally. It accounts for around 15% of all preterm births in the United States (delivery before 37 weeks of pregnancy).
Who is prone to preeclampsia?
Practitioners are unsure why some women develop preeclampsia.
High blood pressure, renal illness, or diabetes in the past.
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a client who has just been prescribed lithium for bipolar disorder is being given education from the nurse about this medication. which is important for the nurse to include in teaching?
The nurse should advise the patient to keep himself hydrated and consume a healthy diet.
What is Bipolar Disorder?A mental disorder called bipolar disorder, formerly called as manic depression, is characterized by cycles of melancholy and excessively elevated mood that can last anywhere from days to weeks at a time. Mania is the name for an elevated mood that is extreme or linked to psychosis; hypomania is the name for one that is less severe.
Mania is a condition in which a person exhibits abnormally euphoric, cheerful, or irritated behavior or feelings and frequently acts impulsively without carefully considering the implications. During manic episodes, the need for sleep is typically decreased. The person may cry, have a pessimistic attitude on life, and make poor eye contact with others while depressed.
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helicobacter pylori gastritis is thought to be caused by a previous infection when the client was younger. chronic gastritis caused by h. pylori can lead to which possible condition?
Chronic gastritis caused by h. pylori can lead to ulcers. H pylori bacteria can also cause a chronic inflammation in the stomach or the upper part of the small intestine.
H. pylori is one of the most common chronic inflammatory disorders. Most patients with H. pylori infection show features of both acute and chronic gastritis. H pylori can sometimes lead to stomach cancer or a rare type of stomach lymphoma.
If the protective layer of the stomach mucus is damaged, gastric acids can irritate the stomach lining underneath the mucus. In the majority of cases, chronic gastritis is caused by the bacteria H. pylori. These bacteria cause an inflammation in the stomach lining and eventually stomach cells become damaged. Long-term infection with Helicobacter pylori could lead to asymptomatic chronic gastritis, chronic dyspepsia, duodenal ulcer disease or gastric ulcer disease.
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a patient is receiving a continuous tube feeding. the nurse notes that the feeding tube was last irrigated at 2 p.m. the nurse would plan to irrigate the tube again at which time?
D) 6 p.m. to 8 p.m.
It is advised that patients receiving continuous tubes feedings irrigate their feeding tubes every 4 to 6 hours. The nurse would then irrigate the tube for this patient between 6 and 8 o'clock.
Feeding Tube- A tube that is put into the stomach through the nose, then down the neck and esophagus. It can be used to remove items from the stomach as well as to administer medications, liquids, and liquid food. Enteral nutrition refers to the feeding of food through a feeding tube to the stomach.
Nutrition- The process of consuming food and transforming it into energy as well as other essential elements is known as nutrition.
The given question is incomplete, find below the complete question,
Q. A patient is receiving a continuous tube feeding. The nurse notes that the feeding tube was last irrigated at 2 p.m. The nurse would plan to irrigate the tube again at which time?
A) 4 p.m. to 6 p.m.
B) 10 p.m. to 12 a.m.
C) 8 p.m. to 10 p.m.
D) 6 p.m. to 8 p.m.
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a black client with asthma seeks emergency care for acute respiratory distress. because of this client's dark skin, the nurse should assess for cyanosis by inspecting the:
1. after repair of a hip fracture, the physician ordered the 252-pound patient a group 2 standard single power wheelchair with a sling, solid seat, and back
After repair of a hip fracture, the physician ordered the 252 pound patient a Group 2 standard single power wheelchair with a sling, solid seat and back. The correct HCPCS Level II code is K0822.
What is fracture?Fracture is often described as a complete or partial break in a bone.
The main symptom associated with fracture is pain. There may also be loss of functionality depending on the area affected.
Treatment for fracture usually involves resetting the bone in place and immobilizing it in a cast or splint to allow time to heal.
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The full question is here:
After repair of a hip fracture, the physician ordered the 252- pound patient a Group 2 standard single power wheelchair with a sling, solid seat, and back. Assign the correct HCPCS Level II codes.
a client is postoperative following a graft reconstruction of the neck. what intervention is the most important for the nurse to complete with the client?
An intervention which is the most important for the nurse to complete with a client who just underwent a graft reconstruction of the neck is: assess the graft for color and temperature.
Who is a nurse?A nurse simply refers to an expert (professional) who has been trained in a medical facility and licensed to provide health care for sick people (clients) and perform routine checks on them, including some medical instruments in a health facility such as an hospital.
Additionally, a nurse is saddled with the responsibility of providing an assessment and intervention to all physical and emotional client issues, as well as planning and provide discharge teaching for clients.
What is graft reconstruction?Graft reconstruction can be defined as a surgical procedure which is typically used for the movement of tissue from one part of the body of a living organism to another (client) or from a site in an organism to another living organism (client), without an accompaniment of its own blood supply.
In conclusion, this nurse should assess the client's graft based on color and temperature.
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the mother of an infant born with profound intellectual disability and hearing loss tells the nurse that she had a viral infection in the first trimester of pregnancy. the nurse identifies which congenital infection as the cause of the fetal defects?
Answer: Rubella
Explanation: Read Textbook Page 306
therapeutic communication involves listening and analyzing what the client is conveying. based on the information provided by the client, which nursing interventions best promotes effective communication? (select all that apply. one, some, or all options may be correct.)
The nursing interventions best promotes effective communication is the use open-ended questions.
What are open-ended questions?Open-ended questions are those questions that allows the respondent to further explain themselves instead of giving a reply of yes or no.
In order words, an open-ended questions is the opposite of a closed-ended question which involves the respondent to answer either yes or no.
Therapeutic communication is a type of an effective communication that is being used a nurse to obtain vital information that can use to analyse the physical, emotional and psychological health status of their patients or client.
These open-ended questions are used by the nurse during a therapeutic communication section to obtain the necessary information they need.
The importance of therapeutic communication include the following:
To help clinicians build trust with patients, To help clinicians and patients collaborate efficiently and effectively toward the patient's physical and emotional wellness.Learn more about therapeutic communication here:
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a 42-year-old with chronic right trochanteric bursitis is scheduled to receive an injection at the pain clinic. a 22-gauge spinal needle is introduced into the trochanteric bursa, and a total volume of 8 cc of normal saline and 40 mg of kenalog(triamcinolone acetonide) is injected. what are the cpt® codes?
The CPT codes are 20610-RT, J3301 x 4.
Look for Injection/Bursa in the CPT® Index. 20600-20611 has been given to you. To select the proper service, review the codes. The injection was administered inside the trochanteric bursa (hip, a significant joint), without ultrasound guidance for medication administration, hence 20610 is the appropriate code. You can find Kenalog -10 & Kenalog-40 in the Table of Drugs & Biologicals of a HCPCS Level II codebook, both of which refer to Check out triamcinolone acetonide. Several codes, including J3300, J3301, and J3302, are produced by triamcinolone acetonide. Kenalog is mentioned in the notes with the number J3301 10 mg. For every 40 mg of Kenalog, report 4 units.
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