A nurse is assessing an adult client who has been immobile. b. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has been on bed rest for the past month. Preventing falls and injuries. A nursing paradigm i Are you considering pursuing a career in nursing but have limited time or resources to attend a traditional brick-and-mortar institution? If so, an online associate nursing degree The National Institutes of Health define a nurse extender as a health care professional, such as a certified nursing assistant, who assists registered and licensed practical nurses Are you preparing for the NCLEX-RN exam? As a future registered nurse, it’s crucial to have confidence in your abilities and knowledge. Study with Quizlet and memorize flashcards containing terms like 1. for which of the following findings should the nurse intervene Here’s the best way to solve it. For which of the following findings should the nurse intervene?Erythema on pressure pointsLower-extremity pulse strength of 2+Fluid intake of 3,000mL per dayOne bowel movement every other day May 19, 2024 · Assisting Patient to the Sitting Position. The nurse understands that an immobile client may have poor body alignment, which may lead to complications. " b. A nurse is completing an admission assessment for a client who reports vomiting a nurse is assessing an adult client who has been immobile for the past 3 weeks. 52, so you can be ready for test day. You’ll be taking notes for a client’s electr Nurses are the backbone of the healthcare industry, dedicating their time and energy to care for others. This is most likely an indication of which of the following conditions? a. These assessments evaluate the kno A nursing neurovascular assessment is when a nurse checks for “paralysis, pallor, pain, pulselessness, poikilothermia and paresthesias” Within the first 24 hours, the patient will When it comes to the care of your loved ones, finding a private duty nurse who is both skilled and compassionate is of utmost importance. Pulmonary edema c. A client who is 1 day postoperative and has temperature of 37. " c. Observing the behaviors of the child is important; however, the nurse needs to remember that the client may have diversional activities when coping with pain, such as laughing or talking, which can alter the nurse's assessment of the pain by the client. a nurse is assessing an adult client who has been immobile for the past 3 weeks. 1) Increased muscle strength: This finding is a positive outcome of physical activity and exercise. Nurses are responsible for identifying, managing, and eliminating potential fall hazards for clients. Which of the following actions should the nurse take as part of the medication reconciliation process?, A nurse is admitting a client how has rubella. 2 Elevate the head of the client's bed and obtain vital signs. The death of a loved one 3. Wright and Maureen Leahey, in their A nursing care plan for preeclampsia involves monitoring vital signs, weight, urine output and state of consciousness, assessing deep tendon reflexes and symptoms of headache or ep The Occupational English Test (OET) is designed to assess the language proficiency of healthcare professionals who wish to work or study in an English-speaking environment. Before beginning your search for a private ­­­Gordon’s health functions provide a comprehensive nursing assessment of patients during the nursing process. Based on this information, what would be the best response by the high school student about the function of the clitoris? Receives sperm, provides an exit for menstrual flow and serves as the birth canal Study with Quizlet and memorize flashcards containing terms like A 71-year-old immobile patient has been in his wheelchair for 2 hours. When assessing the client's perception of the precipitating event that led to the crisis, which is the most appropriate Continuing to take the vital signs will cause further agitation and possible harm to the client or nurse. A 61-year-old client recently suffered left-sided Study with Quizlet and memorize flashcards containing terms like When caring for a client with a fracture, the nurse should monitor for which complications? Select all that apply. Nursing can be ve In the field of nursing, performance appraisal plays a crucial role in assessing the quality of care provided by healthcare professionals. . the burn initially affected the client's entire face (the anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both of the arms. How should the nurse interpret these behaviors? a. , The nurse is caring for a pediatric client who is immobile. Drug adverse effects D. Atelectasis d. Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the history and physical records of the newly admitted client in the wound care clinic. Contractures in the arms and legs. "The client has a decrease in lean body mass. What statement by the client requires action by the nurse Sep 13, 2023 · The nurse should intervene for deep vein thrombosis (DVT) (Option B. Inspection reveals that the area appears blister-like. Which instruction would be accurate for collection of the specimen?, Which is the test that would provide an accurate measurement of the kidney's Study with Quizlet and memorize flashcards containing terms like Dry skin is common among the elderly. After an explanation to the client about risk factors for hearing loss, the nurse determines that the client needs further instruction 8. 5 C ( 99. Apply antibiotic cream c. a client is unaware of her recent cancer diagnosis asks the nurse is she has cancer, and the nurse responds affirmatively. " d. 4 Contact the healthcare provider to request a prescription for a sedative. However, many people wonder how much being a nurse actuall Are you considering pursuing a career in nursing but have limited time or resources to attend a traditional brick-and-mortar institution? If so, an online associate nursing degree Home nursing is important because it is a more personal and intimate form of care. Delirium C. Which of the following is the proper technique for logrolling? a. A fire that destroyed the client's home 4. The nurse suspects the client has a fat embolism. A nurse is caring for a client who requires a 24-hr urine collection. document the finding in the client's chart b. 5F) B. The professional caregiver provides the patient with customized care that specifically satisfies . Refer the client to a burn center d. , 2019). Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like During a pharmacology class the students are told that some drugs need to be closely monitored. Increased blood pressure 2. Which of the following findings should the nurse expect? Select all that Apply A. 5% of adults reporting symptoms as of 2019. It assesses the communication skills of hea The Calgary Family Assessment Model is an assessment tool used by family nurses in their practices. These checklists serve as a comprehensive guide for nurse Subjective data, or subjective assessment data, is a common term in nursing; it refers to information collected via communicating with the patient. Which of the following heart sounds should the Study with Quizlet and memorize flashcards containing terms like The nurse is screening children for scoliosis. Patients who have been immobile for a long period of time may experience vertigo, a sensation of dizziness, and orthostatic hypotension, a form of low blood pressure that occurs when changing position from lying down to sitting, making the patient feel dizzy, faint, or lightheaded (Potter, Perry, Ross-Kerr, & Wood, 2010). A nurse is caring for a client who experienced a lacerated spleen and has been on bedrest for several days. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis?, A nurse is caring for a PT who requires 24-hour urine collection. An adult client visits the clinic and complains of tinnitus. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a body mass index (BMI) of 18. The nurse is aware that certain factors, including high blood pressure, affect the client's capacity to exercise. Stage 0 on posterior superior Study with Quizlet and memorize flashcards containing terms like an adult client was burned as a result of an explosion. for which of the following findings should the nurse intervene? Nursing; Nursing questions and answers; A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene? Erythema on pressure points. The nurse should document the inability to assess vital signs and the reason why this should be done after the client's basic needs have Jul 2, 2024 · Study with Quizlet and memorize flashcards containing terms like A client who has been immobile for a prolonged time develops hypercalcemia. What should the nurse do first? a. Some nurses, particularly those who work in the public health and epidemiology fields, also use statistics. To ensure The role of a nurse is to give healthcare services to communities, families and individuals through communication, decision making, teaching and management of care services. An adult client tells the nurse that his 80 year old father is almost completely deaf. What will the nurse document as input on the record? Select all that apply. which of the following statements should the nurse A nurse is assessing an adult client who has been immobile for the past 3 weeks. Which of the following types of transmission-based precautions should the nurse initiate?, A nurse is A home health nurse is completing an admission assessment of an older adult client who has their caregiver present. , The nurse is caring for a client admitted with fluid overload. As a d Personal nursing goals can include making sure patients receive professional treatment, quality care and minimal wait times, as well as educating them about their medical care and According to Nursing Theories, a nursing paradigm is a pattern that shows the relationship between a person, the environment in which she lives and her health. A nurse is assessing an older adult client who has hemiparesis (paralysis of one side of the body) following a stroke. , The nurse is assessing the neurovascular status of a 5-year-old with a The son of an older adult client states that he has noticed progressive periods of forgetfulness in his father over the past year. Indicate if the assessment finding is expected, unexpected, or unrelated to the client's fracture. In addition to skin inspection, what assessment will the home care nurse perform? determining what type of linens the client is using determining how often the client is bathing assessing the client's nail beds for signs of fungal infection assessing skin tone and turgor Study with Quizlet and memorize flashcards containing terms like A 20-year-old female tells the nurse she is concerned about getting a good suntan before going on a vacation. , A client suffering from chronic obstructive pulmonary disease (COPD) reports that it is hard to cough up secretions and the secretions are thick and sticky. During which season does dry skin become worse?, An adult client has a large number of nevi on her neck and back. One effective way to boost your confidence a As a therapist, there’s a variety of reasons why you want to take thorough subjective, objective, assessment and planning (SOAP) notes. C) Off-load the area under pressure. Study with Quizlet and memorize flashcards containing terms like The nurse is assessing an 80-year-old client who has scald burns on the hands and both forearms (first and second degree burns on 10% of the body surface area). assess the client for further signs of otitis media d. The nurse is assessing an adult client who has presented to the emergency department with general weakness. After noting the son's comments and assessing the client, which cognitive problem does the nurse suspect the client may have? A. which of the following types of activity should the nurse recommend?, a nurse is assessing a client's readiness to learn about insulin administration. The nurse auscultates decreased breath sounds in the lower lobes of both lungs. There is a notation that states there is an absence of the stratum corneum. Questions asked to collect subje In today’s competitive business landscape, it is crucial for investors, partners, and potential clients to thoroughly evaluate the financial stability of a business before making a A clinical interview is a type of psychological assessment. The nurse will begin preparing for the insertion of a peripheral intravenous line if which assessment finding(s) are present? A nurse is caring for a client who is immobile and has developed a pressure ulcer. Bradycardia. The experience of chronic depression is oft Subjective data, or subjective assessment data, is a common term in nursing; it refers to information collected via communicating with the patient. During assessment of the resident's skin, the nurse notes a break in the skin, erythema, and a small amount of serosanguineous drainage over the resident's sacrum. Which factors directly affect the client's capacity to exercise? Select all that apply, A nurse is caring for a client who has been recommended an ambulatory electrocardiogram for recording the heart rate and rhythm. A recent rape episode experienced by the client, 829. After the Study with Quizlet and memorize flashcards containing terms like An adult client visits the clinic and complains of tinnitus. The nurse should ask the client if she has been, 2. Which findings are manifestations of fat embolism? Select all that Study with Quizlet and memorize flashcards containing terms like The nurse prevents and treats pressure ulcers in the at-risk population of immobile elders. What aspect should the nurse closely monitor for in clients who have been administered salicylates, loop diuretics, quinidine, quinine, or aminoglycosides?, The nurse has performed the Rinne test on an older adult client. Which Study with Quizlet and memorize flashcards containing terms like The patient has been diagnosed with a spinal cord injury and needs to be repositioned using the logrolling technique to keep the spinal column in straight alignment. Which of the following findings should the nurse expect?, A nurse is teaching a client who is on a soft Quiz yourself with questions and answers for HESI Study Plan A Quiz 2 Geriatrics, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material. A nurse has been asked to assess an older adult resident of a long-term care facility. How would this observation be best documented? 1. 3 Assess the client for allergies and change the IV to an intermittent lock. for which of the following findings should the nurse intervene? erythema on pressure points a nurse is planning on teaching for a group of adolescents who each recently had surgical placement of an ostomy. The nurse notes that the client is withdrawn, confused and at times physically immobile. The nurse should place the client in which of the following BMI categories?, A nurse is assessing a client who has an inadequate dietary intake of vitamin C. What nursing assessment finding is indicative of scoliosis?, Which term refers to a grating or crackling sound or sensation?, The nurse is preparing the client for magnetic resonance imaging after reports of low back pain. Hypotension. Pressure ulcers, A nurse is assessing a client who is 24 hour post operative While assessing the ears of an adult client, the nurse observes bloody drainage in the client's ear. The caregiver is the client's financial power of attorney b. The nurse is planning discharge care for an older adult client who had been on prolonged bed rest. Question 9 of 10. Contractors of the extremities B. BP of 7745 mm Hg when placed in a sitting position Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is experiencing complications due to immobility. Witnessing a murder 2. A client who has a burn injury to an estimated 5% his leg and is crying C. It assesses the English language skills of Depression is the most commonly diagnosed psychiatric disorder in the United States, with 18. Nurses must be Are you considering a career as a Licensed Practical Nurse (LPN)? One of the first steps in pursuing this rewarding profession is to pass the LPN entrance exam. What is the best description to include in the assessment about papules?, The student nurse is reviewing a client 1. Nursing Assessment Apr 30, 2024 · Biosurgery has long been used in battlefield situations and recent case studies of the therapy for treating various chronic ulcers have been positive (Choo et al. Which of the following findings should the nurse report to a nutritionist? a. ) in this client's assessment due to increased risk from immobility. This comprehensive test assesses your knowledge and skills in areas such The Occupational English Test (OET) is a language proficiency exam specifically designed for healthcare professionals, including nurses. Although common, maceration can be dangerous, especially with the elder Although prosthetic joints and limbs offer mobility to patients who may otherwise be immobile, they do come with some disadvantages. The stratum corneum provides insulation for temperature regulation. The fir LPN entrance practice tests play a crucial role in preparing aspiring nurses for the challenges they will face in their careers. Which of the following actions should the nurse take first? Tell the client to keep the head of the bed elevated at least 30 degrees. Which assistive device would the nurse include in the plan of care?, When moving a client up in bed with the assistance of another caregiver, the nurse should:, A nurse is providing care for a client who has been newly admitted Study with Quizlet and memorize flashcards containing terms like The nurse is reviewing the functions of the ovaries, uterus, clitoris and vagina with a group of high school students. The nurse should intervene if they observe any of Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who is on bed rest for a month. Which of the following statements by the client indicates an Study with Quizlet and memorize flashcards containing terms like a nurse is teaching an older adult client who is at risk for osteoporosis aboutbeginning a program of regular physical activity. Immobilizing the area with a splint or a brace is also helpful in so Ganglion cysts are sacs of fluid around the hand, wrist or thumb that can fade without treatment, but doctors suggest many treatments, including immobilization, aspiration or surge Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics Are you considering pursuing a career in nursing but have limited time or resources to attend a traditional brick-and-mortar institution? If so, an online associate nursing degree To effectively immobilize an opponent during a fight by way of pressure points, one must cause shock to certain areas of the body and cause a chain reaction that leads to a knockou Check with your healthcare provider to see if this service is available to you Generally most healthcare providers offer a free nurse hotline as part of the service they provide to Are you preparing to take the Certified Nursing Assistant (CNA) Competency Test? This comprehensive examination is designed to assess your knowledge and skills as a CNA. Clean the wounds with warm water b. The nurse is conducting an initial assessment of a client in crisis. Crackles in the lungs E. Study with Quizlet and memorize flashcards containing terms like A charge nurse is discussing the responsibility of nurses carig for clients who Study with Quizlet and memorize flashcards containing terms like 1. The nurse should intervene for deep vein thrombosis (DVT) (Option B. Before conducting a nursing performance a Performance evaluation plays a crucial role in any profession, including nursing. The nurse auscultates a high-pitched scratching sound during both systole and diastole with the diaphragm of the stethoscope positioned at the left sternal border. Diarrhea D. 8 F, and his As the healthcare industry continues to evolve, ensuring the competency of nurses has become increasingly important. The nurse should a. , The nurse puts elastic stockings on a client following major abdominal A nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should ask the client if she has been, An adult client tells the nurse that his 80 year old father is almost completely deaf. Depression B. A client's blood pressure changes from 112/60 mmHg to 90/54 mm Hg when standing D. D) Thoroughly clean and Asking the parents about the client's pain can cloud the nursing process of assessment. Study with Quizlet and memorize flashcards containing terms like A nurse on a medical unit is preparing to discharge a client to home. Which of the following findings should the nurse identify as a potential indication of elder abuse? a. Which of the following explains why this is a concern? 1. determine whether a foreign body is present in the ear c. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a wrist fracture. The client is in a wheelchair with the wheels locked c. Exposed muscle A. Which assessment would be a priority?, The nurse has an order to obtain a 24-hour urine specimen from a client. Topical growth factors Nerve-growth factors, colony-stimulating factors, and fibroblast growth factors that are found to be effective in treating diabetic and venous ulcers. 2. Stage 1 on iliac crest 4. Which systems should the nurse monitor for complications? Select all that apply. These practice tests are designed to assess a stude In the healthcare industry, nursing competency checklists play a crucial role in ensuring patient safety and quality care. a nurse is assessing an adult client who has been immobile for the past 3 weeks. The best response by the nurse would be:, The nurse is assessing a client's skin and notices a few papules. When repositioning him, the nurse observes a reddened area at the base of the buttocks. Obtain assistance from at least two or three other people. There are two main types of prosthetic limbs: b When adults are older or have physical disabilities and can no longer live on their own, they may feel scared, stressed or overwhelmed about their changing needs and living situati Resting the area is often sufficient for clearing up the symptoms of a pinched nerve, according to Mayo Clinic. Polyuria C. Quiz yourself with questions and answers for Patho- Quiz 1- Ch. After an explanation to the client about risk factors for hearing loss, the nurse determines that the client needs further Study with Quizlet and memorize flashcards containing terms like The nurse is monitoring fluid intake and output (I&O) for a client who has diarrhea. The outgoing nurse states the wound is a stage I pressure ulcer. If you’re considering a career in nursing but don’t have the time or resources to commit to a traditional four-year degree program, a 6-month nursing program might be an attractive Nurses often use basic arithmetic and algebra on the job. Decreased peristalsis, 2. Eleven categories covering health and human function are part of thi With a nationwide shortage of nurses, many young adults, as well as older professionals interested in a career change, are choosing to pursue a career in nursing. How should the nurse assess body alignment in this client? Select all that apply. Poor bladder sensory function. "The client reports difficulty with dressing. Deep vein thrombosis. Questions asked to collect subje If you’re planning to pursue a career in nursing, one of the first hurdles you’ll need to overcome is the nursing entrance exam. This exam is design Being a nurse is not only a rewarding profession in terms of helping others, but it also offers competitive compensation. The nurse reviews the client's health record to find there is no history of underlying health conditions. A nurse is assessing an adult client who has been immobile for the past 3 weeks. It was developed by two nurses, Lorraine M. Which of the following characteristics is associated with a stage II pressure ulcer? A. Study with Quizlet and memorize flashcards containing terms like While preparing to insert a rectal suppository in a male adult client, the nurse observes that the client is holding his breath while bearing down. What A nurse is assessing an adult client who has been immobile for the past 3 weeks. Increased urinary output 4. Cover the burns with a sterile An older adult client is reporting dry, itching skin. for which of the following findings should the nurse intervene? erythema on pressure points A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through an open system. How should the nurse best interpret this assessment finding?, Herpes zoster (shingles) is not contagious and cannot be transmitted to nonimmune contacts. and more. One way to achieve this is through ongoing nursing competency a Nursing competency assessments play a vital role in ensuring quality patient care and maintaining high standards within healthcare organizations. It is a way for a mental health professional to ask a client questions, engage in dialogue to learn more about the clien Wound maceration occurs when the area of skin surrounding a wound has an excessive amount of moisture in it. The nurse would need to identify findings that requires further intervention. The nurse would assess the client for symptoms most likely related to which condition? A) Intestinal parasites B) Urinary tract infections C) Hypothyroidism D) Diabetes mellitus Study with Quizlet and memorize flashcards containing terms like A nurse is assessing the heart sounds of a client who has developed chest pain that becomes worse with inspiration. 1 Discontinue the IV and notify the healthcare provider. Signs of depression b. , A nurse is caring for a client on the orthopedic floor. Partial thickness skin loss B. no bowel movement for the last 48-72 hours Cinability to perform active range of motion exercises in bed D. In assessment of the client, the nurse is alert to a(n): 1. the client's clothes caught on fire, and the client ran, which caused A nurse is assessing an adult client who has been immobile for the past 3 weeks. For which of the following findings should the nurse intervene and more. A client has been on prolonged bed rest, and the nurse is observing for signs associated with immobility. Visible subcutaneous fat C. which of the following methods should the nurse use as a 1)place the client in a room with negative-pressure airflow. Stage 2 at greater trochanter 2. The stratum If an ambulating client whom a nurse is assisting begins to fall, the nurse should slide the client down his own body to the floor, carefully protecting the client's head. Placing the client in a secluded room may increase agitation and should not be used in this situation. In the four options given, the answer would be A) Erythema on pressure points. 3) use antimicrobial sanitizer for hand hygiene. In the scenario given, a nurse is assessing an adult client who has been immobile for the past 3 weeks. It provides an opportunity for nurses to assess their skills, identify areas for improvement, and The Occupational English Test (OET) is a language proficiency test specifically designed for healthcare professionals, including nurses. The nurse should identify that which of the following findings requires further intervention? Erythema on pressure points The nurse in the ER is caring for a young female victim of sexual assault. Stage 1 at ischial tuberosity 3. Many elderly adults prefer to maintain their independence and stay in the comfort of their own ho Are you considering a career in nursing? The first step to achieving your goal is to pass the HESI A2 exam. This exam serves as an important assessment tool fo As individuals age, it is natural for them to require additional support and care. The client's physical assessment is complete, and physical evidence has been collected. If you’re looking to show appreciation for the nurses in your life, a thoug If you’re interested in pursuing a trusted, compassionate career in health care, you might be wondering “what do I need to become a nurse?” Though not necessarily as time consuming The unifying theme of successful nursing research proposals is that the author(s) observed a problem, did research to make sure the observation was not personal bias, and then wrot The relevance of psychology in nursing is that the mind and the body are interwoven, so in order to treat a person’s physical health, a person’s mental health must also be treated. In report, the nurse is told that the client has just signed consent for amputation of the limb and that the procedure is scheduled for Which of the following actions should the nurse take?, A nurse is assessing an adult client who has been immobile for 3 weeks. Study with Quizlet and memorize flashcards containing terms like A client with limited mobility has outward rotation of the bony protrusions at the head of the femur. 2) wear gloves when assisting the client with oral care. Delayed gastric Question 9 A nurse is assessing a client who has been immobile and bedridden fer several weeks due to multiple fractures, Which of the following findings should be the nurse's priority A weak muscles on both lower extremities 8. Have the patient reach for the Study with Quizlet and memorize flashcards containing terms like A client is severely injured, sustaining a full-thickness circumferential burn to the left leg, after passing out as a result of drinking alcohol and falling into a fire while on a camping trip. Dementia Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is complaining of difficulty urinating. Nonblanchable redness D. Which findings are consistent with this condition?, A client who is to have a total hip arthroplasty with an uncemented prosthesis asks, "When will I be able to get up and walk?" On what information should the nurse base an answer?, The nurse has provided 7. Which of the following interventions will best treat a stage 1 pressure ulcer? A) Clean with normal saline three times a day. Decreased heart rate 3. What action should the nurse implement?, The nurse assesses an immobile, elderly male client and determines that his blood pressure is 138/60, his temperature is 95. A client who has an ankle fracture reports a pain level increase from 3 to 5 after initial ambulation Oct 10, 2023 · The nurse should identify that decreased range of motion requires further intervention when assessing an adult client who has been immobile for the past 3 weeks. ) during the assessment of an adult client who has been immobile for the past 3 weeks. B) Cover with a hydrogel sheet like Vigilon. A client has been to the clinic multiple times in the past year with vaginal infections, the most frequent of which was candidiasis. refer the client to the physician Apr 30, 2024 · Proper positioning provides comfort to the client who has decreased mobility and helps prevent the development of complications such as deep vein thrombosis or pulmonary embolism. "The client reports living alone. The nurse is receiving report on an elderly client who has developed a pressure ulcer from long periods of immobility. Upper respiratory infection b. The nurse should identify that which of the following findings requires further intervention? A) Erythema on pressure points B) Lower extremity pulse strength of 2+ C) Fluid intake of 3000 mL per day D) Bowel movement every other day a nurse is assessing an adult client who has been immobile for the past 3 weeks. The nurse should identify that which of the following findings requires further intervention? 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