NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions,
A client with acute kidney injury has a serum potassium level of 7.0 mEq/L. The nurse should
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plan which actions as a priority? Select all that apply.
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1. place the client on a cardiac monitor
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2. notify the HCP
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3. put the client on NPO status except for ice chips
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4. review the client's medications to determine if any contain or retain potassium
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5. allow an extra 500 mL of intravenous fluid intake to dilute the electrolyte concentration
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<CORRECT ANSWER>1. place the client on a cardiac monitor
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2. notify the HCP
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4. review the client's medications to determine if any contain or retain potassium
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A client being hemodialyzed suddenly becomes short of breath and complains of chest pain.
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The client is tachycardic, place, and anxious and the nurse suspects air embolism. What are
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the priority nursing actions? Select all that apply.
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1. administer oxygen to the client
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2. continue dialysis at a slower rate after checking the lines for air
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3. notify the HCP and RRT
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4. stop dialysis, and turn the client on the left side with head lower than feet
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5. bolus the client with 500 mL of normal saline to break up the air embolus <CORRECT
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ANSWER>1. administer oxygen to the client
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3. notify the HCP and RRT
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4. stop dialysis, and turn the client on the left side with head lower than feet
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A client arrives at the emergency department with complaints of low abdominal pain and
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hematuria. The client is afebrile. The nurse next assess the client to determine a history of
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which condition?
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1. pyelonephritis
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2. glomerulonephritis
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,NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions,
3. trauma to the bladder or abdomen
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4. renal cancer in the client's family <CORRECT ANSWER>3. trauma to the bladder or
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abdomen
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The nurse discusses plans for future treatment options with a client with symptomatic
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polycystic kidney disease. Which treatment should be included in this discussion? Select all
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that apply.
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1. hemodialysis
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2. peritoneal dialysis
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3. kidney transplant
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4. bilateral nephrectomy
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5. intense immunosuppression therapy <CORRECT ANSWER>1. hemodialysis
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3. kidney transplant
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4. bilateral nephrectomy
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A client is admitted to the ED following a fall from a horse and the HCP prescribes insertion
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of a urinary catheter. While preparing for the procedure, the nurse notes blood at the
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urinary meatus. The nurse should take which action?
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1. notify the HCP before performing the catheterization
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2. use a small-sized catheter and an anesthetic gel as a lubricant
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3. administer parenteral pain medication before inserting the catheter
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4. clean the meatus with soap and water before opening the catheterization kit <CORRECT
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ANSWER>1. notify the HCP before performing the catheterization
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The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to
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initiating hemodialysis. Which finding indicates that the fistula is patent?
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1. palpation of a thrill over the fistula
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2. presence of a radial pulse in the left wrist
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,NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions,
3. visualization of enlarged blood vessels at the fistula site
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4. capillary refill less than 3 seconds in the nail beds of the fingers on the left hand
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<CORRECT ANSWER>1. palpation of a thrill over the fistula
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A male client ha a tentative diagnosis of urethritis. The nurse should assess the client for
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which manifestation of the disorder?
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1. hematuria and pyuria
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2. dysuria and proteinuria
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3. hematuria and urgency
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4. dysuria and penile discharge <CORRECT ANSWER>4. dysuria and penile discharge
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The nurse is assessing a client with epididymitis. The nurse anticipates which findings on
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physical examination?
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1. fever, diarrhea, groin pain, and ecchymosis
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2. nausea, painful scrotal edema, and ecchymosis
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3. fever, nausea, vomiting, and painful scrotal edema
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4. diarrhea, groin pain, testicular torsion, and scrotal edema <CORRECT ANSWER>3. fever,
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nausea, vomiting, and painful scrotal edema
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A client complains of fever, perineal pain, and urinary urgency, frequency, and dysuria. To
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assess whether the client's problem is related to bacterial prostatitis, the nurse reviews the
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results of the prostate examination for which characteristic of this disorder?
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1. soft and swollen prostate gland
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2. swollen and boggy prostate gland
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3. tender and edematous prostate gland
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4. tender indurated prostate gland that is warm to the touch <CORRECT ANSWER>4. tender
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indurated prostate gland that is warm to the touch
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, NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions,
The nurse is collecting data from a client. Which symptom described by the client is
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characteristic of an early symptom of benign prostatic hyperplasia?
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1. nocturia
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2. scrotal edema
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3. occasional constipation
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4. decreased force in the stream of urine <CORRECT ANSWER>4. decreased force in the
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stream of urine
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The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is
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less than the inflow. Which actions should the nurse take? Select all that apply.
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1. check the level of the drainage bag
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2. reposition the client to his or her side
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3. contact the HCP
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4. place the client in good body alignment
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5. check the peritoneal dialysis system for kinks
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6. increase the flow rate of the peritoneal dialysis solution <CORRECT ANSWER>1. check the
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level of the drainage bag
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2. reposition the client to his or her side
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4. place the client in good body alignment
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5. check the peritoneal dialysis system for kinks
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A hemodialysis client with a left arm fistula is at risk for arterial steal syndrome. The nurse
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should assess for which manifestations of this complication?
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1. warmth, redness, and pain in the left hand
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2. ecchymosis and audible bruit over the fistula
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3. edema and reddish discoloration of the left arm
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4. pallor, diminished pulse, and pain in the left hand <CORRECT ANSWER>4. pallor,
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diminished pulse, and pain in the left hand
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A client with acute kidney injury has a serum potassium level of 7.0 mEq/L. The nurse should
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
plan which actions as a priority? Select all that apply.
bb bb bb bb bb bb bb bb bb bb
1. place the client on a cardiac monitor
bb bb bb bb bb bb bb
2. notify the HCP
bb bb bb
3. put the client on NPO status except for ice chips
bb bb bb bb bb bb bb bb bb bb
4. review the client's medications to determine if any contain or retain potassium
bb bb bb bb bb bb bb bb bb bb bb bb
5. allow an extra 500 mL of intravenous fluid intake to dilute the electrolyte concentration
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
<CORRECT ANSWER>1. place the client on a cardiac monitor
bb bb bb bb bb bb bb bb bb
2. notify the HCP
bb bb bb
4. review the client's medications to determine if any contain or retain potassium
bb bb bb bb bb bb bb bb bb bb bb bb
A client being hemodialyzed suddenly becomes short of breath and complains of chest pain.
bb bb bb bb bb bb bb bb bb bb bb bb bb
The client is tachycardic, place, and anxious and the nurse suspects air embolism. What are
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
the priority nursing actions? Select all that apply.
bb bb bb bb bb bb bb bb
1. administer oxygen to the client
bb bb bb bb bb
2. continue dialysis at a slower rate after checking the lines for air
bb bb bb bb bb bb bb bb bb bb bb bb
3. notify the HCP and RRT
bb bb bb bb bb
4. stop dialysis, and turn the client on the left side with head lower than feet
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
5. bolus the client with 500 mL of normal saline to break up the air embolus <CORRECT
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
ANSWER>1. administer oxygen to the client
bb bb bb bb bb bb
3. notify the HCP and RRT
bb bb bb bb bb
4. stop dialysis, and turn the client on the left side with head lower than feet
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
A client arrives at the emergency department with complaints of low abdominal pain and
bb bb bb bb bb bb bb bb bb bb bb bb bb
hematuria. The client is afebrile. The nurse next assess the client to determine a history of
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
which condition?
bb bb
1. pyelonephritis
bb
2. glomerulonephritis
bb
,NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions,
3. trauma to the bladder or abdomen
bb bb bb bb bb bb
4. renal cancer in the client's family <CORRECT ANSWER>3. trauma to the bladder or
bb bb bb bb bb bb bb bb bb bb bb bb bb
abdomen
bb
The nurse discusses plans for future treatment options with a client with symptomatic
bb bb bb bb bb bb bb bb bb bb bb bb
polycystic kidney disease. Which treatment should be included in this discussion? Select all
bb bb bb bb bb bb bb bb bb bb bb bb bb
that apply.
bb bb
1. hemodialysis
bb
2. peritoneal dialysis
bb bb
3. kidney transplant
bb bb
4. bilateral nephrectomy
bb bb
5. intense immunosuppression therapy <CORRECT ANSWER>1. hemodialysis
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3. kidney transplant
bb bb
4. bilateral nephrectomy
bb bb
A client is admitted to the ED following a fall from a horse and the HCP prescribes insertion
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
of a urinary catheter. While preparing for the procedure, the nurse notes blood at the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
urinary meatus. The nurse should take which action?
bb bb bb bb bb bb bb bb
1. notify the HCP before performing the catheterization
bb bb bb bb bb bb bb
2. use a small-sized catheter and an anesthetic gel as a lubricant
bb bb bb bb bb bb bb bb bb bb bb
3. administer parenteral pain medication before inserting the catheter
bb bb bb bb bb bb bb bb
4. clean the meatus with soap and water before opening the catheterization kit <CORRECT
bb bb bb bb bb bb bb bb bb bb bb bb bb
ANSWER>1. notify the HCP before performing the catheterization
bb bb bb bb bb bb bb bb
The nurse is assessing the patency of a client's left arm arteriovenous fistula prior to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
initiating hemodialysis. Which finding indicates that the fistula is patent?
bb bb bb bb bb bb bb bb bb bb
1. palpation of a thrill over the fistula
bb bb bb bb bb bb bb
2. presence of a radial pulse in the left wrist
bb bb bb bb bb bb bb bb bb
,NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions,
3. visualization of enlarged blood vessels at the fistula site
bb bb bb bb bb bb bb bb bb
4. capillary refill less than 3 seconds in the nail beds of the fingers on the left hand
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
<CORRECT ANSWER>1. palpation of a thrill over the fistula
bb bb bb bb bb bb bb bb bb
A male client ha a tentative diagnosis of urethritis. The nurse should assess the client for
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
which manifestation of the disorder?
bb bb bb bb bb
1. hematuria and pyuria
bb bb bb
2. dysuria and proteinuria
bb bb bb
3. hematuria and urgency
bb bb bb
4. dysuria and penile discharge <CORRECT ANSWER>4. dysuria and penile discharge
bb bb bb bb bb bb bb bb bb bb
The nurse is assessing a client with epididymitis. The nurse anticipates which findings on
bb bb bb bb bb bb bb bb bb bb bb bb bb
physical examination?
bb bb
1. fever, diarrhea, groin pain, and ecchymosis
bb bb bb bb bb bb
2. nausea, painful scrotal edema, and ecchymosis
bb bb bb bb bb bb
3. fever, nausea, vomiting, and painful scrotal edema
bb bb bb bb bb bb bb
4. diarrhea, groin pain, testicular torsion, and scrotal edema <CORRECT ANSWER>3. fever,
bb bb bb bb bb bb bb bb bb bb bb
nausea, vomiting, and painful scrotal edema
bb bb bb bb bb bb
A client complains of fever, perineal pain, and urinary urgency, frequency, and dysuria. To
bb bb bb bb bb bb bb bb bb bb bb bb bb
assess whether the client's problem is related to bacterial prostatitis, the nurse reviews the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
results of the prostate examination for which characteristic of this disorder?
bb bb bb bb bb bb bb bb bb bb bb
1. soft and swollen prostate gland
bb bb bb bb bb
2. swollen and boggy prostate gland
bb bb bb bb bb
3. tender and edematous prostate gland
bb bb bb bb bb
4. tender indurated prostate gland that is warm to the touch <CORRECT ANSWER>4. tender
bb bb bb bb bb bb bb bb bb bb bb bb bb
indurated prostate gland that is warm to the touch
bb bb bb bb bb bb bb bb bb
, NUR 2811 Module 1 Exam | Capstone Nursing Practice Questions,
The nurse is collecting data from a client. Which symptom described by the client is
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
characteristic of an early symptom of benign prostatic hyperplasia?
bb bb bb bb bb bb bb bb bb
1. nocturia
bb
2. scrotal edema
bb bb
3. occasional constipation
bb bb
4. decreased force in the stream of urine <CORRECT ANSWER>4. decreased force in the
bb bb bb bb bb bb bb bb bb bb bb bb bb
stream of urine
bb bb bb
The nurse monitoring a client receiving peritoneal dialysis notes that the client's outflow is
bb bb bb bb bb bb bb bb bb bb bb bb bb
less than the inflow. Which actions should the nurse take? Select all that apply.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
1. check the level of the drainage bag
bb bb bb bb bb bb bb
2. reposition the client to his or her side
bb bb bb bb bb bb bb bb
3. contact the HCP
bb bb bb
4. place the client in good body alignment
bb bb bb bb bb bb bb
5. check the peritoneal dialysis system for kinks
bb bb bb bb bb bb bb
6. increase the flow rate of the peritoneal dialysis solution <CORRECT ANSWER>1. check the
bb bb bb bb bb bb bb bb bb bb bb bb bb
level of the drainage bag
bb bb bb bb bb
2. reposition the client to his or her side
bb bb bb bb bb bb bb bb
4. place the client in good body alignment
bb bb bb bb bb bb bb
5. check the peritoneal dialysis system for kinks
bb bb bb bb bb bb bb
A hemodialysis client with a left arm fistula is at risk for arterial steal syndrome. The nurse
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
should assess for which manifestations of this complication?
bb bb bb bb bb bb bb bb
1. warmth, redness, and pain in the left hand
bb bb bb bb bb bb bb bb
2. ecchymosis and audible bruit over the fistula
bb bb bb bb bb bb bb
3. edema and reddish discoloration of the left arm
bb bb bb bb bb bb bb bb
4. pallor, diminished pulse, and pain in the left hand <CORRECT ANSWER>4. pallor,
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diminished pulse, and pain in the left hand
bb bb bb bb bb bb bb bb
