Why is a drape used when positioning patients?

Payroll records should be stored for three years to comply with antidiscrimination laws such as the Age Discrimination in Employment Act (ADEA)

According to the U.S. Department of Labor, wage calculation records, such as time cards, wage rates tables, work schedules, and records of increases to or deductions from wages should be saved for two years. You can use any timekeeping method you choose, such as a time clock or allowing employees to track their own work hours, as long as the information is complete and accurate.

Some sources also suggest that payroll records should be stored for three years to comply with antidiscrimination laws such as the Age Discrimination in Employment Act (ADEA)

Find out more about work schedules

brainly.com/question/29387677

#SPJ11

To minimize interruptions in chest compressions during CPR, it is important to follow a few key steps. Firstly, it is recommended to perform pulse checks only after defibrillation. This helps to avoid unnecessary interruptions in chest compressions, which are crucial for maintaining circulation.

Additionally, it is important to continue CPR while the defibrillator is charging to minimize the interruption in compressions. Administering IV medications only when breaths are given can also help to minimize interruptions in chest compressions. Finally, it is important to continue to use the AED even after the arrival of a manual defibrillator, as it can provide valuable information and guidance during the resuscitation process. By following these steps, healthcare providers can minimize interruptions in chest compressions during CPR, ultimately improving the chances of a successful resuscitation.

Learn more about CPR here:

https://brainly.com/question/13320397

#SPJ11

When performing the jaw-thrust maneuver on patients with suspected cervical spine injury, it is important to avoid any movement of the neck. Therefore, you should place your fingers just under the angle of the lower jaw and lift it forward. This technique will help to open the airway without causing any damage to the cervical spine.

It is important to note that this maneuver should only be performed by trained healthcare professionals, as improper technique can cause further harm to the patient. In addition, the use of cervical spine immobilization devices should also be considered to prevent any movement of the neck during the maneuver. Overall, the proper placement of fingers during the jaw-thrust maneuver is essential in ensuring the safety and well-being of the patient.

Learn more about cervical spine here:

https://brainly.com/question/13138266

#SPJ11

The inside of a car is a relatively safe place to be during a thunder and lightning storm because the metal frame of a car acts as a Faraday cage, which can protect the occupants of the car from the electrical charges associated with a lightning strike.

When lightning strikes an object, it releases a large amount of electrical energy, which can travel through the air and potentially harm anyone nearby. However, the metal frame of a car can conduct this electrical charge around the outside of the car and into the ground, protecting the occupants inside from the electrical discharge.

Furthermore, the rubber tires of a car provide an additional layer of insulation, preventing the discharge from traveling through the car's wheels and into the ground. It is important to note, however, that this protection is not absolute and that there is still a small chance of injury or damage from lightning strikes even when inside a car during a thunderstorm.

It is generally recommended to stay inside a car during a thunderstorm rather than seeking shelter under trees or other tall objects, which can attract lightning strikes. It is also important to avoid touching any metal surfaces inside the car, such as door handles or steering wheels, as these surfaces can conduct electrical charges and potentially harm the occupants.

Visit to know more about Faraday cage:-

brainly.com/question/31516127

#SPJ11

Transient incontinence is a type of urinary incontinence that is usually temporary and can be caused by a variety of factors. Some of the common causes of transient incontinence include urinary tract infections, constipation, medication side effects, pregnancy and childbirth, certain neurological conditions, surgery, and physical activity such as running or jumping.

The various causes of transient incontinence include:

1. Urinary tract infections (UTIs): Bacterial infections in the urinary tract can cause temporary incontinence due to increased urgency and frequency of urination.

2. Medications: Some medications, such as diuretics, antihistamines, and antidepressants, can cause transient incontinence as a side effect.

3. Alcohol and caffeine: These substances can irritate the bladder and cause temporary incontinence due to increased urine production and urgency.

4. Constipation: Severe constipation can cause incontinence by putting pressure on the bladder or interfering with the nerves that control bladder function.

5. Mobility issues: Physical limitations or disabilities may make it difficult to reach the toilet in time, leading to transient incontinence.

6. Pregnancy and childbirth: Hormonal changes and increased pressure on the bladder during pregnancy, as well as the stress of childbirth, can cause temporary incontinence.

7. Menopause: Decreased estrogen levels during menopause can lead to weakened pelvic floor muscles and transient incontinence.

By addressing the underlying causes, transient incontinence can often be resolved or managed effectively.

Learn more about Transient incontinence at  brainly.com/question/25524652

#SPJ11

The symptoms you described, including child conjunctival injection, tarsal inflammation, and pale follicles, are consistent with trachoma, which is a bacterial infection caused by Chlamydia trachomatis. Trachoma is a common cause of conjunctivitis in overcrowded and unsanitary living conditions, such as refugee camps.

Chlamydial conjunctivitis and gonococcal conjunctivitis can also cause conjunctival inflammation, but they typically present with more severe symptoms, such as purulent discharge, and are less likely to cause tarsal inflammation or follicle formation.

Ocular syphilis can also cause conjunctivitis, but it is typically characterized by a red, granulomatous inflammation of the conjunctiva, which is different from the pale follicles seen in trachoma. Additionally, ocular syphilis is a rare condition and is unlikely to be the cause of conjunctivitis in a refugee camp setting.

Therefore, based on the symptoms described, trachoma is the most likely diagnosis.

To know more about conjunctival here

https://brainly.com/question/1835237

#SPJ4

A minimum of two resident elopement prevention and response drills must be held annually at facilities.

When a resident vacates an institution without permission, it is known as elopement. Assisted living facilities have policies and processes in place to evaluate each resident's risk of eloping, implement risk mitigation measures for those recognized as such, implement resident identification measures within the facility, and manage missing residents.

Assisted living facility residents may elope for a number of reasons, including bewilderment, disorientation, wandering, or agitation. Sometimes a family member of a resident will unintentionally assist a resident in eloping.

To know more about elopement, refer:

https://brainly.com/question/30154771

#SPJ4

The murmur that is typically heard in the pulmonic area is called a pulmonic or pulmonary ejection murmur. This is a systolic murmur that is heard best over the pulmonic valve area, which is located in the second intercostal space at the left sternal border.

A pulmonic ejection murmur is caused by blood flowing through the pulmonary artery and pulmonic valve during systole. The murmur is usually described as a high-pitched, blowing sound that may be heard throughout systole and may also be heard in the neck. The intensity of the murmur can vary depending on the severity of the underlying condition causing it.

Pulmonic ejection murmurs can be caused by a variety of conditions, including congenital heart defects such as pulmonary stenosis, as well as acquired conditions such as pulmonary hypertension. The diagnosis of a pulmonic ejection murmur should always be confirmed by a healthcare professional through physical examination and additional diagnostic testing if necessary.

Visit to know more about Murmur:-

brainly.com/question/14704580

#SPJ11

Yes, there is a time frame defining when pain becomes chronic. Chronic pain is typically defined as pain that lasts for more than three to six months, and is often characterized by a persistent or recurring discomfort that can be difficult to manage or alleviate.

Chronic pain may be caused by a variety of factors, including injury, illness, or a pre-existing medical condition, and can have a significant impact on a person's quality of life, emotional well-being, and overall health. If you are experiencing chronic pain, it is important to speak with a healthcare professional to determine the best course of treatment and management for your specific needs.
Yes, there is a time frame defining when pain becomes chronic. Typically, pain is considered chronic when it persists beyond the expected healing period, usually around 3 to 6 months. This persistent pain can be due to various factors such as underlying medical conditions, injuries, or even psychological factors.

Visit here to learn more about Chronic pain brainly.com/question/28272317

#SPJ11

The appropriate nursing interventions for administering eye drops are looking up, placing drops in the conjunctival sac, and closing eyes gently, options B, D, and E are correct.

The client should be instructed to look up at the ceiling to expose the conjunctival sac and facilitate proper administration of the eye drops. Dropping the medication into the center of the client's conjunctival sac ensures that the medication is properly absorbed. Instructing the client to close the eye gently helps to prevent the medication from escaping from the eye and facilitates absorption.

Using medical aseptic technique is important to prevent infection, but is not specific to administering eye drops. While having the client lie in a side-lying position is not necessary for administering eye drops, it may be appropriate for certain other procedures, option B, D, and E are correct.

To learn more about conjunctival follow the link:

https://brainly.com/question/28995137

#SPJ4

The complete question is:

A nurse is preparing to administer eye drops to a client. Which of the following are appropriate nursing interventions related to this procedure? (Select all that apply.)

A. Using medical aseptic technique

B. Asking the client to look up at the ceiling

C. Having the client lie in a side-lying position

D. Dropping medication into the center of the client's conjunctival sac

E. Instructing the client to close the eye gently

The most likely organism causing the symptoms and imaging findings in a 21-year-old patient with seizures, progressive headache, fever, nasal congestion, and a ring-enhancing lesion in the left frontal lobe with air fluid levels and mucosal edema in the paranasal sinuses is Rhizopus.

The symptoms and imaging findings are suggestive of a fungal infection, most likely mucormycosis, which is caused by fungi of the order Mucorales, such as Rhizopus. Mucormycosis typically affects immunocompromised patients and can present with a wide range of symptoms, including headache, fever, rhinorrhea, nasal congestion, and neurological symptoms such as seizures.

The ring-enhancing lesion with air fluid levels and mucosal edema in the paranasal sinuses seen on imaging is highly suggestive of mucormycosis. Other possible organisms that can cause similar symptoms and imaging findings include viridans strep, Nocardia, and HSV, but the most likely organism in this scenario is Rhizopus.

To know more about congestion, click here.

https://brainly.com/question/15178958

#SPJ4

The rule of nines used by a clinician D. To estimate fluid lost by the body by determining the extent of burns.

Clinicians measure the severity of burns on a patient's body using the rule of nines. The body is divided into sections according to the rule of nines, each of which corresponds to 9% or a multiple of 9% of the entire surface area.

For example, head and neck account for around nine percent of human body's surface area, as do each arm, the front and rear of the torso, each leg, and each other percent of the body. A doctor can determine an entire body surface area that has been burned by applying the rule of nines, which can then help direct treatment choices such as fluid resuscitation, wound care, and pain management.

Read more about rule of nines on:

https://brainly.com/question/28765785

#SPJ4

A large pleural effusion leads to atelectasis by causing a significant buildup of fluid within the pleural space, which is the area between the visceral and parietal pleurae surrounding the lungs.

This fluid accumulation increases pressure on the lung tissue and impairs its ability to expand fully during inhalation. As a result, the alveoli within the affected lung region become compressed and unable to fill with air properly. Atelectasis is the partial or complete collapse of a portion of the lung due to this lack of proper expansion. When the alveoli collapse, it leads to reduced gas exchange between the lungs and the bloodstream. Consequently, the body is unable to receive adequate levels of oxygen, and the individual may experience shortness of breath, hypoxia, and other respiratory symptoms.

The presence of a large pleural effusion can also cause mediastinal shift, which is the displacement of the central structures within the thoracic cavity, this displacement may further compress the lung tissue and contribute to atelectasis. Treatment for atelectasis caused by a large pleural effusion typically involves addressing the underlying cause of the effusion, such as infection or inflammation. This may include administering antibiotics, anti-inflammatory medications, or even draining the fluid via a procedure called thoracentesis to relieve pressure on the lungs and restore their ability to expand fully. A large pleural effusion leads to atelectasis by causing a significant buildup of fluid within the pleural space, which is the area between the visceral and parietal pleurae surrounding the lungs.

Learn more about atelectasis at:

https://brainly.com/question/31361385

#SPJ11

The Cincinnati Prehospital Stroke Scale (CPSS) is a rapid assessment tool used by emergency medical services (EMS) personnel to identify potential stroke patients in the prehospital setting.

Facial Droop: The EMS provider assesses the patient's face for any drooping on one side. The patient is asked to show their teeth or smile to check for asymmetry in facial movement.

Arm Drift: The EMS provider asks the patient to close their eyes and hold both arms straight out in front of them with palms facing up for about 10 seconds. The provider observes for any arm drift or weakness on one side, such as one arm drifting down compared to the other.

Speech: The EMS provider assesses the patient's speech for any slurring or difficulty speaking. The provider can ask the patient to repeat a simple phrase, such as "The sky is blue," and assess for any speech abnormalities.

The CPSS is designed to be a quick and easy-to-perform assessment tool that can be used by EMS personnel to quickly identify potential stroke patients and activate appropriate medical interventions as early as possible, which can significantly impact patient outcomes.

Learn more about Cincinnati Prehospital Stroke Scale here: https://brainly.com/question/28340893

#SPJ1

Triaging is a system to assess patient conditions and decide who gets treatment first and who may not get treatment at all. The ethical theory that triaging focuses on is utilitarianism.In the context of triaging, this means allocating resources and treatment in a way that helps the largest number of patients with the most critical needs.

The ethical theory that triaging focuses on is utilitarianism. Utilitarianism is a consequentialist ethical theory that emphasizes maximizing the overall net benefit or utility of an action. In the context of healthcare, utilitarianism involves making decisions that promote the greatest overall well-being for the greatest number of people.In triaging, the goal is to allocate limited resources such as medical personnel, equipment, and supplies to the patients who need them the most and have the greatest chance of benefiting from them. This means that patients are prioritized based on their clinical urgency and potential for recovery.While triaging can be difficult and may involve difficult decisions, it is based on the ethical principle of beneficence, which involves acting in the best interests of the patient and promoting their well-being. By prioritizing patients who are most in need of urgent care, the goal is to maximize the overall benefits for the greatest number of people.

Learn more about beneficence here

https://brainly.com/question/22842824

#SPJ11

Triaging is a system to assess patient conditions and decide who gets treatment first and who may not get treatment at all. The ethical theory that triaging focuses on is "utilitarianism."

What is Utilitarianism?

Utilitarianism is an ethical approach that emphasizes maximizing overall benefits and minimizing harm. In the context of triaging, this means prioritizing the treatment of patients based on their medical needs, the severity of their condition, and the potential for a successful outcome. This ensures that the best (beneficence) is achieved for the greatest number of people, aligning with the ethical principles of utilitarianism.

The ethical theory that triaging focuses on is utilitarianism, which prioritizes the greatest good for the greatest number of people. In this case, the goal is to allocate resources and treatment in a way that benefits the most people possible, and the principle of beneficence is also considered, which requires healthcare professionals to act in the best interest of their patients.

To know more about Beneficence, visit:

https://brainly.com/question/30764481

#SPJ11

Resident can typically use their own belongings as space permits in an assisted living facility (ALF). However, it's important to check with the specific ALF as there may be some restrictions or guidelines on what items are allowed.

Most ALFs provide residents with furnished rooms or apartments, including basic furniture and appliances, but residents are generally allowed to bring in their own personal belongings as long as they do not overcrowd the space or pose a danger to themselves or others. Some ALFs may have specific rules or restrictions on what items are allowed. Residents should check with the facility staff to ensure that their belongings are allowed and meet any requirements.

Learn more about AFL: https://brainly.com/question/28196483

#SPJ11

Yes, a facility can accept a resident that requires the administration of medication. Many facilities have licensed medical professionals on staff who are responsible for administering medications to residents.

The facility must follow certain protocols and procedures to ensure that medications are given safely and effectively and that residents receive the proper dosage at the appropriate times. The facility must also have policies in place for storing and securing medications, as well as monitoring residents for any adverse reactions or side effects. Overall, the safety and well-being of the resident are the top priority when it comes to medication administration in a facility.

Find out more about medical professionals

brainly.com/question/28952619

#SPJ11

If a patient is not responsive and not breathing, immediate action is required. First, call for emergency medical services (EMS) or activate the emergency response system.

Then, start performing cardiopulmonary resuscitation (CPR) by giving chest compressions and rescue breaths. However, since the patient has a palpable carotid pulse, this means their heart is still beating, so rescue breaths may not be necessary. Instead, focus on performing chest compressions at a rate of 100-120 compressions per minute until EMS arrives. It is important to continue monitoring the patient's breathing and pulse while performing CPR. Additionally, if there is an automated external defibrillator (AED) available, follow the instructions on the device to administer a shock if necessary. Time is of the essence in these situations, so acting quickly and confidently can help save a life.

To know more about cardiopulmonary resuscitation:

https://brainly.com/question/12864566

#SPJ11

Delina most clearly suffers a deficiency in hearing, specifically conductive hearing loss due to the perforated eardrum.

The eardrum plays an important role in transmitting sound waves from the outer ear to the middle ear, where the sound is amplified and transmitted to the inner ear. When the eardrum is damaged or perforated, it can't vibrate as effectively, which leads to a reduction in sound transmission to the inner ear. This can result in temporary or permanent hearing loss, depending on the severity and cause of the perforation.

Learn more about deficiency

https://brainly.com/question/29857070

#SPJ4

A nurse who is discussing Duchenne muscular dystrophy should characterize it correctly using the descriptors of being a genetic disorder that primarily affects boys, causing progressive muscle weakness and wasting, and ultimately leading to difficulty with mobility and breathing.

Duchenne muscular dystrophy is a genetic disorder that primarily affects boys and causes progressive muscle weakness and wasting. It ultimately leads to difficulty with mobility and breathing.

It is important for healthcare professionals, such as nurses, to accurately describe and educate patients and their families about Duchenne muscular dystrophy to ensure proper treatment and care.

To know more about dystrophy visit

https://brainly.com/question/27961678

#SPJ11

To administer the prescribed dosage of oxytocin (Pitocin) at 4 milliunits/minute IV for a client with an ineffective contraction pattern, you first need to determine the concentration of oxytocin in the Ringer's Lactate solution. You have added 20 units of oxytocin to 1,000 mL of Ringer's Lactate, resulting in a concentration of 20 units/1,000 mL or 0.02 units/mL.

Next, convert the prescribed dosage from milliunits/minute to units/hour: 4 milliunits/minute x 60 minutes/hour = 240 milliunits/hour, which is equal to 0.24 units/hour.

Now, divide the prescribed dosage (0.24 units/hour) by the concentration (0.02 units/mL) to find the infusion rate: 0.24 units/hour ÷ 0.02 units/mL = 12 mL/hour.

Therefore, the infusion pump should be set to deliver 12 mL/hour of the oxytocin and Ringer's Lactate solution to the client.

Learn more about oxytocin here:

https://brainly.com/question/1996049

#SPJ11

The leading cause of death for infants between 1 and 12 months of age in industrialized nations is sudden infant death syndrome (SIDS).

SIDS is defined as the sudden, unexpected death of an infant under one year of age, which remains unexplained after a thorough investigation, including an autopsy, examination of the death scene, and review of the infant's clinical history. SIDS is a diagnosis of exclusion, meaning that it can only be made after all other possible causes of death have been ruled out.

The exact cause of SIDS is unknown, but it is believed to involve a combination of factors, including brainstem abnormalities, genetic predisposition, and environmental triggers such as sleeping on the stomach, exposure to cigarette smoke, and overheating.

To know more about infants , click here.

https://brainly.com/question/30746920

#SPJ4

Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. True

Except in facilities made up of apartments, a minimum of 35 square feet of living and dining area must be given for each resident, employee, and family member. Living, eating, and other areas specified as being accessible to all residents must be included in this area; however, restrooms, hallways, storage areas, and screened porches that cannot be converted for year-round usage must not be included.

Facilities that have apartments may consider the living area as part of the 35 square feet designated for living and eating. Adult day care participants are not allowed to use extra floor space in their bedrooms or flats to fulfil the criteria for living and dining space. Residents bedrooms may not be used for sleeping by nursery participants unless the space is empty at the time.

Complete Question:

Those facilities also serving as adult day care centers must provide an additional 35 square feet of living and dining space per adult day client. True/False

Read more about day care centers on:

https://brainly.com/question/1561028

#SPJ4

A proposed bill to create , the Expanded and Improved Medicare for All Act, would replace private insurance companies - True

Medicare is a health insurance programme that covers hospitalisation for persons over 65 or with disabilities who have paid into the system and are now eligible. A single public agency that would pay for medical care for all Americans, much like how Medicare pays for seniors, would replace private insurance firms under the Expanded and Improved Medicare for All Act.

It is a proposed law in the country that would establish a single-payer healthcare system. Despite being repeatedly submitted in the US Congress, the bill has not yet become a law. The bill's objectives include providing all Americans with comprehensive healthcare coverage while lowering costs and raising standards of care.

Complete Question:

A proposed bill to create , the Expanded and Improved Medicare for All Act, would replace private insurance companies with one public agency that would pay for medical care for all Americans, much like Medicare works for seniors. - True/False

Read more about Medicare on:

https://brainly.com/question/28045174

#SPJ4

The answer is False. The statement is not entirely accurate. In the United States, requirements for licensure of early childhood care (ECC), long-term care for the mentally handicapped (LMH), and long-term care for the mentally ill (LNS) facilities may vary from state to state.

However, in general, a standard license is one of the types of licenses that may be issued to a facility, and it typically represents the highest level of licensure. To obtain a standard license, the facility must meet more stringent requirements and regulations than those required for other types of licensure, such as a provisional license or a temporary license. Therefore, while a standard license may be required for certain ECC, LMH, or LNS facilities, it is not necessarily required for all applicants. The specific requirements for licensure will vary depending on the state and the type of facility being licensed.

For more questions like Medicine visit the link below:

https://brainly.com/question/14330819

#SPJ11

To answer your question about the innervation of the primary supinator of the forearm: The primary supinator of the forearm are the supinator muscle and the biceps brachii. These muscles are responsible for rotating the forearm into a palm-up position. The innervation of these primary supinators is as follows:

1. Supinator muscle: This muscle is innervated by the radial nerve, specifically its deep branch, also known as the posterior interosseous nerve. The radial nerve originates from the brachial plexus, which is a network of nerves formed by the ventral rami of the lower four cervical nerves (C5-C8) and the first thoracic nerve (T1).

2. Biceps brachii: The biceps brachii is innervated by the musculocutaneous nerve, which also originates from the brachial plexus. The musculocutaneous nerve is formed by the ventral rami of the lateral cord of the brachial plexus, primarily contributed by the C5, C6, and C7 nerve roots.

In summary, the primary supinators of the forearm, the supinator muscle and the biceps brachii, receive their innervation from the radial nerve (deep branch) and the musculocutaneous nerve, respectively. Both nerves have their origins in the brachial plexus.

Learn more about supinator here:

brainly.com/question/30630901

#SPJ11

Sure! Here is some patient education points for someone suffering from diverticular disease. It's important for individuals with diverticular disease to work closely with their healthcare provider to develop a personalized plan for managing symptoms and preventing complications.

1. Increase fiber intake: Consuming high-fiber foods such as whole grains, fruits, and vegetables can help prevent diverticular disease symptoms from occurring or worsening.

2. Stay hydrated: Drinking plenty of water helps soften stools and makes them easier to pass, reducing the risk of diverticulitis.

3. Avoid certain foods: Foods such as nuts, seeds, popcorn, and corn may irritate the intestines and trigger symptoms.

4. Exercise regularly: Regular physical activity can help improve bowel function and reduce the risk of diverticulitis.

5. Monitor symptoms: Keep track of symptoms and report any changes or worsening to a healthcare provider.

6. Follow prescribed treatment: Take medication as directed and follow any other treatment recommendations from a healthcare provider.

Learn more about the diverticular disease at  brainly.com/question/30579076

#SPJ11

A distinctive feature of secondary syphilis is a widespread rash that can include the palms and soles.

Syphilis is a sexually transmitted disease that can affect different parts of the body, including the skin.

Secondary syphilis occurs a few weeks to a few months after the initial infection, and it is characterized by a variety of symptoms, including a rash.

The rash in secondary syphilis typically appears as reddish-brown spots that can be flat or raised.

It usually starts on the trunk of the body and spreads to the extremities, including the palms and soles. The rash can be accompanied by other symptoms, such as fever, headache, and swollen lymph nodes.

The rash in secondary syphilis is highly variable and can look different in different people.

Some people may develop a rash that is more widespread and pronounced, while others may only have a few spots. In some cases, the rash may be mistaken for other skin conditions, such as eczema or psoriasis.

It is important to note that the rash in secondary syphilis can resolve on its own, even without treatment.

However, the infection can still progress to the later stages of syphilis, which can have more serious and long-lasting effects on the body.

Therefore, it is important to get tested and treated for syphilis if you think you may have been exposed to the infection.

To know more about syphilis here

https://brainly.com/question/13154433

#SPJ11

A distinctive feature of secondary syphilis is A) a widespread rash that can include the palms and soles.

Other symptoms may include fever, fatigue, sore throat, and swollen lymph nodes.

While blister-like lesions and ulcers may occur in later stages of syphilis, they are not characteristic of secondary syphilis.

Rubbery or hard bumps may be a sign of other conditions such as lymphoma or granuloma inguinale, and soft, painful ulcers are more commonly associated with genital herpes.

Learn more about syphilis here:

https://brainly.com/question/13154433

#SPJ11