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NCLEX-PN Exam Cram, 3rd Edition

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    ePub EPUB The open industry format known for its reflowable content and usability on supported mobile devices.

    MOBI MOBI The eBook format compatible with the Amazon Kindle and Amazon Kindle applications.

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  • Description
  • Sample Content
  • Updates
  • Copyright 2012
  • Dimensions: 7" x 9-1/8"
  • Pages: 600
  • Edition: 3rd
  • Book
  • ISBN-10: 0-7897-4106-7
  • ISBN-13: 978-0-7897-4106-6

Succeed with topical reviews, practice exams, and preparation tools

 

“The book offers a quick ‘cram’ approach to the NCLEX that is user friendly and not time intensive. The overall approach is learner-centered and the content is well paced.”

—Catherine Dearman, RN, PhD

 

  • Covers exactly what you need to know to score higher on your NCLEX-PN® exam.
  • Includes 400 sample test questions to help you determine whether you’re ready to take the actual exam.
  • Our popular Cram Sheet tearcard helps you remember key concepts.
  • Exam Alerts provide important information found on the exam.
  • Simplifies pharmacology for easy learning.

 

Written by Leading Nursing Experts!

Wilda Rinehart has R.N., B.S.N., M.S.N., F.N.C., and F.P.N.P. degrees. Her experience includes staff nurse in surgery, labor and delivery; public-health nurse; and family-planning nurse practitioner. She also was an instructor of surgical and obstetrical nursing.

 

Diann Sloan has R.N., B.S.N., M.S.N., F.N.C., as well as MS. Ed. and Ph.D. in Education degrees. She has worked as a staff nurse in surgical nursing, pediatrics, and neonatal intensive care and as a pediatric nurse clinician. She has also been an instructor of pediatric and psychiatric nursing.

 

Clara Hurd has M.S.N., R.N., and C.N.E. degrees. She has worked with Pearson as a consultant on item writing. She has 31 years of experience and has worked as a staff nurse in medical-surgical nursing and the surgical intensive care unit. Ms. Hurd has taught in associate and baccalaureate nursing programs.

 

Score Higher on the NCLEX-PN® Exam!

 

The CD features innovative Computer Adaptive Testing software, giving you an effective tool to assess your readiness for the NCLEX-PN® exam. Key features include:

  • Detailed explanations of correct and incorrect answers
  • Multiple test modes
  • Random questions and order of answers

System Requirements:

  • Microsoft Windows XP, Microsoft Vista or Microsoft Windows 7
  • Pentium class 1GHz processor (or equivalent)
  • 256MB RAM
  • 30MB Hard Drive Space

 

Category: Test Preparation and Review
Covers: Nursing

 

 

NCLEX-PN® is a registered trademark of the National Council of State Boards of Nursing, Inc. (NCSBN), which does not sponsor or endorse this product.

 

Online Sample Chapter

NCLEX-PN Exam Cram: Caring for the Client with Disorders of the Cardiovascular System

Table of Contents

Introduction..................................................................................................xxiii

    Welcome to the NCLEX-PN® Exam Cram ..............................................................xxiii

    Taking the Computerized Adaptive Test ......................................................................xxiv

    The Cost of the Exam...................................................................................................xxiv

    How to Prepare for the Exam........................................................................................xxv

    How to Use This Book ..................................................................................................xxv

    About the Book.............................................................................................................xxvii

    Contact the Authors .....................................................................................................xxvii

Self-Assessment................................................................................................1

    Testing Your Exam Readiness............................................................................................2

CHAPTER 1

Preparing for the National Council Exam for Licensed Practical Nurses..............................3

    Preparing for the Exam .....................................................................................................4

        The Computer Adaptive Test ..................................................................................4

        Testing Strategies......................................................................................................5

        Reading the Question Carefully ..............................................................................6

        Look for Keywords...................................................................................................6

        Watch for Specific Details........................................................................................6

    Exam Prep Questions ........................................................................................................9

        Answer Rationales...................................................................................................11

CHAPTER 2

Simplifying Pharmacology ..................................................................................13

    Pharmacology...................................................................................................................14

        Three Areas of Pharmacology ...............................................................................14

    How Nurses Work with Pharmacology..........................................................................15

        Time-Released Drugs.............................................................................................16

        Administering Medications ....................................................................................17

    Understanding and Identifying the Various Drugs ........................................................18

        Angiotensin-Converting Enzyme Inhibitors .........................................................18

        Beta Adrenergic Blockers .......................................................................................19

        Anti-Infectives (Aminoglycosides) .........................................................................20

        Benzodiazepines (Anticonvulsants/Antianxiety) ....................................................22

        Phenothiazines (Antipsychotic/Antiemetic) ..........................................................24

        Glucocorticoids.......................................................................................................25

        Antivirals .................................................................................................................26

        Cholesterol-Lowering Agents................................................................................28

        Angiotensin Receptor Blockers..............................................................................29

        Histamine 2 Antagonists ........................................................................................30

        Proton Pump Inhibitors .........................................................................................31

        Anticoagulants ........................................................................................................32

        More Drug Identification Helpers ........................................................................33

    Herbals .............................................................................................................................34

    Drug Schedules................................................................................................................35

    Pregnancy Categories for Drugs.....................................................................................35

    Exam Prep Questions ......................................................................................................36

    Answer Rationales...................................................................................................38

CHAPTER 3

Caring for the Client with Disorders of the Respiratory System ......................................41

    Chronic Obstructive Pulmonary Disease .......................................................................42

        Chronic Bronchitis .................................................................................................42

        Emphysema.............................................................................................................42

        Asthma ....................................................................................................................43

    Acute Respiratory Infections ...........................................................................................44

        Pneumonia ..............................................................................................................44

        Pleurisy....................................................................................................................45

        Tuberculosis ............................................................................................................46

        Influenza .................................................................................................................46

    Emerging Infections ........................................................................................................47

        Severe Acute Respiratory Syndrome .....................................................................47

        Legionnaire’s Disease .............................................................................................48

    Diagnostic Tests for Review ............................................................................................49

    Pharmacology Categories for Review .............................................................................49

    Exam Prep Questions ......................................................................................................50

        Answer Rationales...................................................................................................52

    Suggested Reading and Resources ..................................................................................53

CHAPTER 4

Caring for the Client with Disorders of the Renal and Genitourinary System ......................55

    Acute Glomerulonephritis...............................................................................................56

    Chronic Glomerulonephritis...........................................................................................57

    End Stage Renal Disease .................................................................................................58

        Peritoneal Dialysis ..................................................................................................58

        Hemodialysis...........................................................................................................58

        Renal Transplantations ...........................................................................................59

    Nephrotic Syndrome .......................................................................................................59

    Urinary Calculi ................................................................................................................60

    Urinary Tract Infections..................................................................................................60

    Genitourinary Disorders .................................................................................................61

        Prostatitis ................................................................................................................61

    Benign Prostatic Hyperplasia ..........................................................................................62

    Bladder Cancer ................................................................................................................63

    Diagnostic Tests for Review ............................................................................................64

    Pharmacology Categories for Review .............................................................................64

    Exam Prep Questions ......................................................................................................65

        Answer Rationales...................................................................................................67

    Suggested Reading and Resources ..................................................................................68

CHAPTER 5

Caring for the Client with Disorders of the Hematopoietic System...................................69

    Anemia.............................................................................................................................70

        Pernicious Anemia..................................................................................................70

        Aplastic Anemia ......................................................................................................71

        Sickle Cell Anemia .................................................................................................72

        Iron Deficiency Anemia .........................................................................................73

        Cooley’s Anemia (Thalassemia Major) ..................................................................73

    Hemophilia ......................................................................................................................73

    Polycythemia Vera ...........................................................................................................74

    Diagnostic Tests for Review ............................................................................................75

    Pharmacology for Review................................................................................................75

    Exam Prep Questions ......................................................................................................76

        Answer Rationales...................................................................................................78

    Suggested Reading and Resources ..................................................................................79

CHAPTER 6

Caring for the Client with Disorders of Fluid and Electrolyte Balance and Acid/Base Balance ..81

    Basic Knowledge of Fluid and Electrolyte Balance........................................................82

    Regulation of pH and Its Effect on Fluid and Electrolytes ...........................................83

        How the Body Regulates pH .................................................................................83

    Metabolic Acidosis ...........................................................................................................83

        Causes of Metabolic Acidosis.................................................................................83

        Symptoms of Metabolic Acidosis...........................................................................84

        Care of the Client with Metabolic Acidosis ..........................................................84

    Respiratory Acidosis.........................................................................................................85

        Causes of Respiratory Acidosis ..............................................................................85

        Symptoms of Respiratory Acidosis ........................................................................86

        Caring for the Client with Respiratory Acidosis...................................................86

    Metabolic Alkalosis ..........................................................................................................87

        Causes of Metabolic Alkalosis ................................................................................87

        Symptoms of Metabolic Alkalosis ..........................................................................87

        Caring for the Client with Metabolic Alkalosis ....................................................88

    Respiratory Alkalosis........................................................................................................88

        Symptoms of Respiratory Alkalosis........................................................................88

        Care of the Client with Respiratory Alkalosis.......................................................89

    Normal Electrolyte Values ..............................................................................................89

    Changes Associated with Aging ......................................................................................90

    Exam Prep Questions ......................................................................................................91

        Answer Rationales...................................................................................................93

    Suggested Reading and Resources ..................................................................................94

CHAPTER 7

Caring for the Client with Burns ............................................................................95

    Burn Classifications .........................................................................................................96

        Burn Measurement with TBSA .............................................................................98

    Nursing Care for Burn Victims.......................................................................................99

    The Emergent Phase............................................................................................100

    The Intermediate Phase .......................................................................................104

    Dressings for Burns ..............................................................................................105

    The Rehabilitative Phase......................................................................................106

    Diagnostic Tests for Review ..........................................................................................106

    Pharmacology Categories for Review ...........................................................................106

    Exam Prep Questions ....................................................................................................108

        Answer Rationales.................................................................................................110

    Suggested Reading and Resources ................................................................................111

CHAPTER 8

Caring for the Client with Sensorineural Disorders....................................................113

    Disorders of the Eyes ....................................................................................................114

        Intraocular Disorders ...........................................................................................114

        Retinal Disorders..................................................................................................117

        Refractive Errors ..................................................................................................119

        Traumatic Injuries ................................................................................................120

    Visual Tests for Review..................................................................................................121

    Pharmacology Categories for Review ...........................................................................121

    Ear Disorders .................................................................................................................121

        Otitis Externa........................................................................................................122

        Otitis Media ..........................................................................................................122

        Meniere’s Disease .................................................................................................122

        Otosclerosis...........................................................................................................123

        Presbycusis ............................................................................................................123

        Ear Trauma ...........................................................................................................124

    Assisting Clients with Hearing Loss .............................................................................124

    Diagnostic Tests for Review ..........................................................................................124

    Pharmacology Categories for Review ...........................................................................125

    Exam Prep Questions ....................................................................................................126

        Answer Rationales.................................................................................................128

    Suggested Reading and Resources ................................................................................129

CHAPTER 9

Caring for the Client with Cancer .........................................................................131

    Cancer ............................................................................................................................132

        American Cancer Society’s Seven Warning Signs of Cancer..............................132

        The Four Major Categories of Cancer................................................................132

        Risk Factors for Specific Cancers ........................................................................133

        Cancer Prevention................................................................................................134

        Patient Teaching ...................................................................................................135

    Management of the Client with Cancer .......................................................................135

        Radiation...............................................................................................................136

        Chemotherapy ......................................................................................................137

    Bone Marrow Transplantation and Peripheral Stem Cell Transplantation (PSCT)...139

        Types of Transplants.............................................................................................139

        Nursing Care After Transplantation....................................................................140

    Hodgkin’s Lymphoma ...................................................................................................141

        Diagnosis of Hodgkin’s Lymphoma.....................................................................141

        Prognosis of Hodgkin’s Lymphoma.....................................................................142

        Treatment of Hodgkin’s Lymphoma....................................................................142

    Diagnostic Tests for Review ..........................................................................................142

    Pharmacology for Review..............................................................................................143

    Exam Prep Questions ....................................................................................................145

        Answer Rationales.................................................................................................147

    Suggested Reading and Resources ................................................................................148

CHAPTER 10

Caring for the Client with Disorders of the Gastrointestinal System................................151

    Ulcers .............................................................................................................................152

        Types of Ulcers .....................................................................................................152

        Treatment of Ulcers .............................................................................................153

    Inflammatory Bowel Disorders .....................................................................................155

        Crohn’s Disease (Regional Enteritis) ...................................................................155

        Ulcerative Colitis..................................................................................................156

    Diverticulitis..................................................................................................................157

        Diagnosis of Diverticulitis....................................................................................157

        Treatment of Diverticulitis...................................................................................157

    Gastroesophageal Reflux Disease (GERD) ..................................................................158

    Diseases Associated with the Liver ...............................................................................159

        Hepatitis................................................................................................................159

        Cirrhosis................................................................................................................164

        Pancreatitis............................................................................................................166

    Cholecystitis/Cholelithiasis ...........................................................................................168

        Symptoms of Cholecystitis and Cholelithiasis ....................................................168

        Diagnosis of Cholecystitis/Cholethiasis ..............................................................169

        Treatment of Cholecystitis ...................................................................................169

        Treatment of Cholecystitis ...................................................................................169

        Diagnosis of Cholecystitis/Cholethiasis ..............................................................170

        Treatment of Cholethiasis ....................................................................................170

    Clostridium Difficile......................................................................................................171

    Food-Borne Illnesses .....................................................................................................172

    Diagnostic Tests for Review ..........................................................................................173

    Pharmacology for Review..............................................................................................173

    Exam Prep Questions ....................................................................................................175

        Answer Rationales.................................................................................................177

    Suggested Reading and Resources ................................................................................178

CHAPTER 11

Caring for the Client with Disorders of the Musculoskeletal System ...............................179

    Fractures........................................................................................................................180

        Treating Fractures ................................................................................................180

        Compartment Syndrome......................................................................................183

        Osteomyelitis ........................................................................................................184

    Osteoporosis...................................................................................................................185

        Treatment of Osteoporosis...................................................................................186

    Gout ...............................................................................................................................186

        Treatment of the Client with Gout .....................................................................187

    Rheumatoid Arthritis.....................................................................................................188

        Treatment of Rheumatoid Arthritis .....................................................................188

    Musculoskeletal Surgical Procedures ............................................................................189

        Fractured Hip and Hip Replacement ..................................................................189

        Total Knee Replacement ......................................................................................190

        Amputations..........................................................................................................191

    Assistive Devices for Ambulation ..................................................................................192

        Crutches................................................................................................................193

        Canes.....................................................................................................................193

        Walkers .................................................................................................................194

    Diagnostic Tests for Review ..........................................................................................194

    Pharmacology for Review..............................................................................................195

    Exam Prep Questions ....................................................................................................197

        Answer Rationales.................................................................................................199

    Suggested Reading and Resources ................................................................................200

CHAPTER 12

Caring for the Client with Disorders of the Endocrine System .......................................201

    Pituitary Disorders.........................................................................................................202

        Tumors of the Pituitary ........................................................................................202

    Thyroid Disorders .........................................................................................................203

        Hypothyroidism....................................................................................................203

        Hyperthyroidism ..................................................................................................204

    Parathyroid Disorders ...................................................................................................206

        Hypoparathyroidism.............................................................................................206

        Hyperparathyroidism ...........................................................................................207

    Adrenal Gland Disorders...............................................................................................208

        Adrenocortical Insufficiency (Addison’s Disease) ................................................208

        Adrenocortical Hypersecretion (Cushing’s Syndrome).......................................209

    Diabetes Mellitus ...........................................................................................................209

    Diagnostic Tests for Review ..........................................................................................212

    Pharmacology Categories for Review ...........................................................................213

    Exam Prep Questions ....................................................................................................214

        Answer Rationales.................................................................................................216

    Suggested Reading and Resources ................................................................................217

CHAPTER 13

Caring for the Client with Disorders of the Cardiovascular System.................................219

    Hypertension..................................................................................................................220

        Medications Used to Treat Hypertension ...........................................................221

    Heart Block ....................................................................................................................221

        Toxicity to Medications ........................................................................................223

        Malfunction of the Conduction System ..............................................................223

    Myocardial Infarction ....................................................................................................225

        Diagnosis of Myocardial Infarction .....................................................................226

        Management of Myocardial Infarction Clients ...................................................226

    Buerger’s Disease ...........................................................................................................229

    Thrombophlebitis..........................................................................................................229

    Raynaud’s Syndrome......................................................................................................230

    Aneurysms ......................................................................................................................230

    Congestive Heart Failure ..............................................................................................231

        Diagnostic Tests for Review.................................................................................232

    Pharmacology Categories for Review ...........................................................................232

    Exam Prep Questions ....................................................................................................233

        Answer Rationales.................................................................................................235

    Suggested Reading and Resources ................................................................................236

CHAPTER 14

Caring for the Client with Disorders of the Neurological System ...................................237

    Seizures..........................................................................................................................238

        Types of Seizures ..................................................................................................238

        Treatment of Seizure Clients ...............................................................................240

    Status Epilepticus...........................................................................................................241

    Brain Injuries..................................................................................................................241

        Epidural Hematomas............................................................................................242

        Subdural Hematoma.............................................................................................242

        Treatment of Epidural and Subdural Hematomas ..............................................242

    Increased Intracranial Pressure .....................................................................................243

        Treatment of ICP .................................................................................................245

    Neurological Assessment...............................................................................................245

        Cranial Nerve Assessment....................................................................................246

        Glasgow Coma Scale............................................................................................247

        Intracranial Pressure Monitors ............................................................................248

    Care of the Client with Intracranial Surgery (Craniotomy) ........................................248

    Cerebrovascular Accident/Stroke..................................................................................249

    Spinal Cord Injury .........................................................................................................250

        Treatment of Spinal Cord Injuries.......................................................................251

        Potential Complications with SCI Clients ..........................................................252

    Guillain-Barré ................................................................................................................253

        Treating Clients with Guillian-Barré...................................................................253

    Degenerative Neurological Disorders ..........................................................................253

    Diagnostic Tests for Review ..........................................................................................255

    Pharmacology for Review..............................................................................................255

    Exam Prep Questions ....................................................................................................257

        Answer Rationales.................................................................................................259

    Suggested Reading and Resources ................................................................................260

CHAPTER 15

Caring for the Client with Psychiatric Disorders .......................................................261

    Anxiety-Related Disorders ............................................................................................262

        Generalized Anxiety Disorder..............................................................................262

        Post-traumatic Stress Disorder ............................................................................263

        Dissociative Identity Disorder .............................................................................263

        Somatoform Disorder...........................................................................................264

        Panic Disorder ......................................................................................................264

        Phobic Disorders ..................................................................................................265

        Obsessive-Compulsive Disorder ..........................................................................265

    Personality Disorders ....................................................................................................266

        Cluster A ...............................................................................................................266

        Cluster B ...............................................................................................................267

        Cluster C...............................................................................................................268

        Managing Clients with Personality Disorders ....................................................269

    Psychotic Disorders .......................................................................................................270

        Schizophrenia .......................................................................................................270

        Bipolar Disorders..................................................................................................272

    Substance Abuse.............................................................................................................274

        Alcoholism ............................................................................................................274

        Other Commonly Abused Substances .................................................................277

    Disorders of Childhood and Adolescence.....................................................................279

        Conduct Disorder.................................................................................................279

        Oppositional Defiant Disorder ............................................................................279

        Attention Deficit Hyperactive Disorder..............................................................280

        Autistic Disorder...................................................................................................280

        Eating Disorders...................................................................................................281

    Diagnostic Tests for Review ..........................................................................................281

    Pharmacology Categories for Review ...........................................................................282

    Exam Prep Questions ....................................................................................................283

        Answer Rationales.................................................................................................285

    Suggested Reading and Resources ................................................................................286

CHAPTER 16

Caring for the Maternal/Infant Client.....................................................................287

    Signs of Pregnancy ........................................................................................................288

        Presumptive Signs ................................................................................................288

        Probable Signs ......................................................................................................288

        Positive Signs ........................................................................................................289

    Prenatal Care .................................................................................................................289

        Prenatal Diet and Weight Maintenance ..............................................................289

        Alpha-Fetoprotein Screening...............................................................................289

        Other Prenatal Diagnostic Tests ..........................................................................290

        Assessing Fetal Heart Tones.................................................................................291

        Ultrasonography ...................................................................................................291

    Signs of Complications of Pregnancy ...........................................................................291

    Types of Abortions.........................................................................................................292

    Complications Affecting Pregnancy..............................................................................292

        Diabetes in Pregnancy..........................................................................................293

        Preeclampsia .........................................................................................................293

        Disseminated Intravascular Coagulation .............................................................294

        Cord Prolapse .......................................................................................................295

        Abruptio Placenta .................................................................................................295

        Placenta Previa......................................................................................................295

    Maternal Infections........................................................................................................295

    Preterm Labor ...............................................................................................................299

    Intrapartal Care..............................................................................................................299

        Stages of Labor.....................................................................................................300

        Phases of Labor ....................................................................................................300

        Important Terms You Should Know....................................................................300

    Prelabor Testing.............................................................................................................302

    Fetal Monitoring............................................................................................................303

    Pharmacologic Management of Labor .........................................................................305

    Postpartum Care............................................................................................................306

    Terms Associated with the Normal Newborn ..............................................................306

    Rh Incompatibility.........................................................................................................307

    Contraception ................................................................................................................308

    Diagnostic Tests for Review ..........................................................................................310

    Pharmacology Categories for Review ...........................................................................310

    Exam Prep Questions ....................................................................................................311

        Answer Rationales.................................................................................................313

    Suggested Reading and Resources ................................................................................314

CHAPTER 17

Caring for the Pediatric Client ............................................................................315

    Growth and Development.............................................................................................316

        Infant (28 Days to 1 Year) ....................................................................................316

        Toddler (1–3 Years)...............................................................................................318

        Preschooler (3–5 Years) ........................................................................................319

        School Age (6–12 Years) .......................................................................................320

        Adolescence (12–18 Years)....................................................................................321

    Congenital Anomalies....................................................................................................321

        Anomalies of the Gastrointestinal System...........................................................322

        Anomalies of the Musculoskeltal System.............................................................326

        Anomalies of the Cardiovascular System.............................................................328

        Inborn Errors of Metabolism...............................................................................331

    Respiratory Disorders....................................................................................................332

        Acute Otitis Media ...............................................................................................333

        Tonsillitis...............................................................................................................334

        Laryngotracheobronchitis ....................................................................................335

        Acute Epiglottitis..................................................................................................335

        Bronchiolitis..........................................................................................................336

        Cystic Fibrosis (Mucoviscidosis) ..........................................................................337

    Gastrointestinal Disorders.............................................................................................337

        Gastroenteritis ......................................................................................................338

        Pyloric Stenosis.....................................................................................................338

        Intussusception .....................................................................................................338

        Celiac (Gluten-Induced Enteropathy, Celiac Sprue) ..........................................339

    Cardiovascular Disorders ..............................................................................................339

        Rheumatic Fever...................................................................................................339

        Kawasaki’s Disease (Mucocutaneous Lymph Node Syndrome) .........................340

    Musculoskeletal Disorders.............................................................................................342

        Scoliosis.................................................................................................................342

        Legg-Calve-Perthes Disease (Coxa Plana) ..........................................................343

        Muscular Dystrophies...........................................................................................343

    Childhood Cancer .........................................................................................................344

        Wilms Tumor (Nephroblastoma) ........................................................................344

        Leukemia...............................................................................................................344

        Osteogenic Sarcoma (Osteosarcoma) ..................................................................344

    Ingestion of Hazardous Substances...............................................................................345

        Salicylate Overdose...............................................................................................345

        Acetaminophen (Tylenol) Overdose ....................................................................345

        Lead (Plumbism) ..................................................................................................345

        Iron Poisoning ......................................................................................................346

    Diagnostic Tests for Review ..........................................................................................346

    Pharmacology Categories for Review ...........................................................................347

    Exam Prep Questions ....................................................................................................348

        Answer Rationales.................................................................................................350

    Suggested Reading and Resources ................................................................................351

Practice Exam 1 .............................................................................................353

Answers to Practice Exam 1 ...............................................................................397

Practice Exam 2 .............................................................................................419

Answers to Practice Exam 2 ...............................................................................461

APPENDIX A Things You Forgot ...........................................................................................483

APPENDIX B Need to Know More? .......................................................................................491

APPENDIX C Alphabetical Listing of Nursing Boards in the United States and Protectorates ..................499

Glossary ......................................................................................................515

TOC, 9780789741066

 

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