Which of the following statements should the nurse include in the teaching? Cheese During discharge instructions, you tell the patient they need to do the test how many consecutive days? Which of the following info should the nurse include? d. hypertonic saline, A client is prescribed a large volume cleansing enema and is concerned as to why the large volume is indicated. 1. c. The student had the client flex the knees when performing the assessment. A sterile specimen is required for collection. E. Hold the enema solution 12 inches above the anus. a. This type contains digestive enzymes and acids that cause skin irritation, extra care is required to keep waste materials from contacting the abdominal surface. d. chocolate, A client is preparing for a fecal occult blood test. c. After applying the ostomy pouch, lie flat in the prone position for 10 to 15 minutes to facilitate adhesion. a. Yogurt and buttermilk A nurse assesses the stool of patients who are experiencing gastrointestinal problems. d. "The client agrees to take prescribed antidepressants." a. iatrogenic constipation E. Urinary incontinence, B. Select all that apply. Decreased sensation in the lower extremities A nurse is caring for a patient who has an NG tube in place for gastric decompression. A nurse is talking with a client who reports constipation. b. A nurse is caring for a client who has peripheral arterial disease (PAD). A patient has a fecal impaction. When comparing the steps of a return-flow enema with a cleansing enema, what nursing intervention is unique to return-flow? B. 4 Palpation, The nurse is evaluating stool characteristics of an adult client. d. "Only if the stool has not been contaminated by urine. What is the difference between a one-piece and two-piece pouching system? d. removes hardened fecal impactions from the rectum. Which of the following should be included in the client's diet? Select all that apply. The nurse states combination therapy is preferred because: A. different vomiting pathways are blocked. The nurse should anticipate a prescription for which of the following medications? A nurse is caring for a client who is 48 hours postoperative following a small bowel resection. Facilitate a more private setting, such as assisting the client to a bathroom. B. Squatting A nurse is collecting a stool specimen of a client suspected of having Clostridium difficile. Which factor should the nurse review first to identify the cause of constipation? b. tap water Which type of solution does the nurse gather? A patient with IBS a. The close proximity of the male genitalia to the rectum "I will have a flexible endoscopic exam done every 5 years." c. "Perhaps you should do this twice daily." Which is an effect of prolonged use of mineral oil to relieve constipation? a. a. water Eliminate any risk of infection Which of the following statements should the nurse make? Red meats will decrease symptoms of nausea. 1. A nurse has auscultated the abdomen in all four quadrants for 5 minutes and has not heard any bowel sounds. For which adverse effect would the nurse monitor in this patient? During the assessment, the nurse notices the stoma is pale. 5 A nurse is teaching a client about the use of an incentive spirometer. b. A. Complete each statement by writing the correct word or words. d. Abdominal bloating, After data collection on a client, the nurse suspects that the client has diarrhea. d. discontinuation of the amoxicillin and the administration of a different antibiotic, A hypertonic enema solution lubricates the stool and intestinal mucosa, making stool passage more comfortable. Which foods will the nurse recommend to avoid for a client with uncomfortable, frequent episodes of flatulence? The nurse explains that the client will wear antiembolism stockings during and after the procedure. A. They include increased intracranial pressure, glaucoma, and rectal or prostate surgery. Which of the following would describe a normal stool? c. increases the volume of the stool, making defecation easier A nurse is assessing and documenting the eating habits of a client with repeated reports of gas who wants to include more fiber in the diet. D. Kosher chicken breast and boiled potatoes. What outcome does the nurse identify that will be optimal for this client? C. 3 hours, or until dissolved. Which statements accurately describe the action of specific antidiarrheal medications? Loose, dark green liquid that may contain blood. A. In the hospital, a clean technique is used for catheter insertion C. Strain urine for 48 hr. What would be the nurse's first action in this situation? A nurse is providing preoperative teaching for a client who will undergo surgery. D. It controls diarrhea. e. "Have you started a new medication? Example phrase\underline{\color{#c34632}{phrase}}phrase 1. c. Consume a full liquid diet for 12-24 hours. Reassure the patient that this is a normal finding with a new ostomy. A. 4. d. "This is good to help bowels move.". c. The catheter is inserted 2" to 3" into to meatus B. The nurse is presenting a lecture on ostomy bowel elimination at a community clinic. f. Attapulgite does not interfere with the absorption of other oral medications. Maintain an indwelling urinary catheter. D. Whole wheat bread d. Inform client that a chalky-tasting barium contrast mixture will be given to drink before the test. b. Encourage client to heed defecation warning signs and develop a regular schedule of defecation by using a stimulus such as a warm drink or prune juice. Nursing. b. provides an outlet for diarrhea to be funneled into a collection unit Regular use of a laxative a. urgency c. removing the tubing immediately B. Both ends of the bowel are brought through the abdomen to the skin surface as two separate sections. c. "Stool cannot be collect from a child's diaper." The bridge can be removed in 7 to 10 days; typically temporary. Remove the tubing immediately and discontinue the procedure. A. c. Drink a soft drink daily to prevent gas and allow fiber to break down. Which of the following actions should the nurse plan to take? "You may have a continuous sensation of needing to void even though you have a catheter. 3. A patient who has bladder cancer tells the nurse that, of the various urinary diversion options the surgeon presented, she prefers one that will allow her to have some control over urinary elimination. Position the bed flat and assist the client onto his or her left side. Clean the wound from the outer edge towards the center. E. Lean turkey, A. Kidney beans Strain all urine. \text { dermat/o } & \text { py/o } & \text {-cyte } & \text {-pathy } & \text { homo- } \\ A client who has a body fat of 22% d. Caffeine- containing beverages should be monitored to prevent excess intake. When the client asks what the stockings do, which of the following responses should the nurse make? What should I do if my patient cannot retain the enema solution? A nurse is caring for a client who has deep vein thrombosis and has been on heparin continuous infusion for 5 days. A, Fleet enema, is hypertonic. A. What intervention would be most appropriate in this situation? ________: This location is used for a temporary ostomy, with the stoma constructed as a loop. Which nursing action is the recommended preparation for this test? A nurse is teaching a client who has constipation about a high-fiber diet. Ignoring the urge to defecate. How many grams should be in the daily diet? a. provides an outlet for diarrhea to be funneled into a collection unit C. "You will be instructed to limit your fluid intake after the procedure." A. What is the most important nursing action in the care of this client? What should the nurse do first? C. D. A client who weighs 28% above ideal body weight. Estimate the rate at which thermal energy is being discarded by this plant. You may use the elements more than once. C. Use water-soluble jelly for lubrication. e. Cucumber. 4. peripheral vascular function. b. c. Apply device for stool collection. d. Mrs. Lonte reports fullness and diarrhea after breakfast. Maintenance of good posture b. Once the enema solution is introduced, the patient reports severe cramping. Attach a syringe and flush with 50 mL of water or normal saline before removal. c. "As long as you wash the area and dry carefully, you can use the test." True b. ice cream with lunch and dinner Determine cause (medication, infection, impaction) a. Prone Which finding is most important for the nurse to report to the health care provider? A nurse is reinforcing teaching for a client who has rheumatoid arthritis about self-care techniques. a. Oil-retention A bowel training program includes which of the following? In light of the fact that the client's last bowel movement was the morning of surgery, what action should the nurse first take? a. Which color stool does the nurse identify as abnormal? What is the present worth of a $50,000 debenture bond that has a bond coupon rate of 8% per year, payable quarterly? Select a bag with an appropriate size stomal opening, A patient is to take a fecal occult home. E. Urinary incontinence, A nurse is instructing a client who is scheduled for a transurethral resection of the prostate (TURP) about his postoperative care. C. Snoring sounds when inhaling 2 Percussion A nurse is teaching a client who reports constipation about ways to increase dietary intake of fiber. D. Blood-tinged mucus, C. Frequent swallowing and clearing of the throat, A nurse is completing the admission assessment of a client who has a kidney stone. The nurse should explain the option that will allow is? a. small-volume cleansing enema with isotonic solution What is the nurse's best action? D. Administer an antidiarrheal medication 3 hr. a. d. Draw up 60 mL of saline solution (or amount indicated in the order or policy) into syringe. At least 30 mins, or as long as they can hold it. C. Absent urine output for 2 hr Monitor urine pH. B. Irrigate all catheters with sterile normal saline. b. Provide sitz bath after defecation A steel container of mass 135g135 \mathrm{~g}135g contains 24.0g24.0 \mathrm{~g}24.0g of ammonia, NH3\mathrm{NH}_3NH3, which has a molar mass of 17.0g/mol17.0 \mathrm{~g} / \mathrm{mol}17.0g/mol. prior to the enema. c. softens and facilitates the removal of intestinal polyps The nurse is preparing to auscultate the bowel sounds of a client with a nasogastric tube in place set to low intermittent suction. a. d. Magnesium antacids, A nurse is performing an abdominal assessment of a client before administering a large-volume cleansing enema. A communicating wall remains between the proximal and the distal bowel. Replace legumes with broiled meats. Chronic Constipation What nursing interventions should be applied to all 3? _________: is typically created as an emergency procedure to relieve an intestinal obstruction or perforation. It has two openings through the one stoma - the proximal end drains stool while the distal portion drains mucus. ", A. Select all that apply. Connect all catheters and drains to a single collection device. d. "All four abdominal quadrants auscultated. Skim milk. b. During the aging or wearout period, the deterioration of a machine usually ", For which client would a hypertonic enema most likely be contraindicated? A. d. soap and water, What is the most common type of colostomy that needs to be irrigated to help promote regular evacuation of feces? After 3 days of antibiotic therapy, the client develops severe diarrhea, and the nurse notifies the health care provider. b. state of physical mobility C. Increase dietary intake of raw vegetables The client presses the call bell and tells the nurse that about feeling dizzy. a. The nurse should plan care based on which of the following factors contributing to this postoperative complication? a. pouring warm water over Ms. Young's fingers Which of the following interventions should the nurse include in the plan of care? a. a. A. Gently massage the stoma 4. a. administration of a small-volume enema Ensure that the client fasts 6 to 12 hours before the test as per policy. (Select all that apply) A. Select all that apply. The client has a daily fluid intake of 2,000 to 3,000 mL. c. Watermelon D. Depression "What are your normal bowel habits?" D. Cancer, Which enema is the safest to use for any patient? The nurse should monitor the client for which of the following adverse effects? Constipation is a clinical diagnosis based on symptoms of incomplete elimination of stool, difficulty passing stool, or both. c. 5 in (12.5 cm) c. Inspection "Mineral oil enemas can interfere with absorption of fat-soluble vitamins." a. 3. urinary elimination B. Inflamed and reddened throat a. This medication might cause your face to be flushed A nurse is reinforcing teaching with a client who requests hydrotherapy for pain management during labor. A. A. Which of the following would the nurse incorporate into the teaching plan for a patient to promote healthy urinary functioning? d. Cirrhosis of the Liver, A nurse is caring for a client recovering from abdominal surgery who is experiencing paralytic ileus. A. Hgb of 11.6 and Hct of 37% a. mineral oil Which part of this plan could create stress for Mr. Bales and possible increase his inability to urinate? Which of the following actions should the nurse take to alleviate the clients concern? B. Flatulence c. "This test will show if you have an infection in the bowel." E. Breast Milk, A. Cathartics Ignoring the urge to defecate D. Pull the curtain around the patient's bed and drape the patient. Green D. lower doses of medication are cost-effective. Digital removal of stool may cause parasympathetic stimulation. 1. Planning medical treatment based on test results C. Leave the skin on when eating fruit. Drink four to five glasses of water daily "The client expresses interest in learning self-care." Using a diet that is low in bulk a. Administer a normal saline enema after obtaining the relevant order. Select all that apply. b. B. Fundamentals Chapter 38: Bowel Elimination, Organizacin funcional y control del medio in, Edge Reading, Writing and Language: Level C, David W. Moore, Deborah Short, Michael W. Smith, The Language of Composition: Reading, Writing, Rhetoric, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, Literature and Composition: Reading, Writing,Thinking, Carol Jago, Lawrence Scanlon, Renee H. Shea, Robin Dissin Aufses, VO 8 - Gleichgewicht und Wohlfahrt bei vollko. A. b. Nurses should recommend avoiding the habitual use of laxatives. A nurse is documenting the eating habits of a client who wants to include more fiber in the diet. Weight loss B. Bruising C. Constipation D. Blurred vision 26. Which of the following actions should the nurse anticipate? d. Anthelmintic, When assessing an elderly client for constipation, the nurse learns that the client uses mineral oil daily to relieve constipation. c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. a. Results may be altered if a sample is left standing at room temperature for a long time. The patient reports frequent episodes of loose stools over the last month, but has no signs of infection or bowel obstruction. b. Constipation A patient with a left-sided end colostomy in the sigmoid colon c. Encouraging a generous fluid intake if not contraindicated by the patient's condition. B. Hash browns potatoes Place the patient on the bedpan in dorsal recumbent position on bedpan. B. A nurse is providing teaching to a client who has a new colostomy about proper care. "I will need yearly screenings for colon cancer." Select all that apply. Celiac disease. d. pasta, Data must be collected to evaluate the effectiveness of a plan to reduce urinary incontinence in an older adult patient. c. dark brown d. Skin turgor response of 6 seconds, The nurse has presented an educational in-service about caring for clients who have newly created ostomies. A nurse is caring for an older adult who has constipation. TPN is administered through a large central blood vessel; The solution contains sugar, proteins, and fat for increased calories; tests to monitor blood and urine glucose levels will be done The nurse is caring for a burn client who is receiving total parenteral nutrition (TPN) at 75mL/hour. a. a diet lacking in fruits and vegetables Before digital removal of the mass, which of the following types of enemas should the nurse plan to administer to soften the feces? If the patient was instructed to avoid foods that may have a laxative effect, the nurse would advise the patient to avoid which of the following foods? How much heat has to be removed to reach a temperature of 20.0C-20.0^{\circ} \mathrm{C}20.0C ? A nurse is caring for a client who has major fecal incontinence and reports irritation in the perianal area. Which of the following should the nurse recommend? The nurse would intervene if which food item is included on the client's tray? B. Peroxide Pasta with cream sauce will help coat the abdominal mucosa. The nurse should identify that which of the following results places the client at risk? d. dysuria, Mr. Cheng, a hospitalized patient with diabetes mellitus, has developed a UTI. The parent asks if the specimen for testing can be collected from the child's diaper. B. The client drinks 8 glasses of fluid daily. C. Increase cellulose and fluid in the diet He is 80 years old and has an indwelling catheter in place. Which of the following instructions should the nurse include in the teaching? D. Review the pain scale, B. A nurse is following a health care provider's order to irrigate a client's NG tube. All steps must be used.) (Select all that apply) The nurse needs to collect a stool specimen for culture from a client. c. If portions of the stool include visible blood, mucus, or pus, discard the stool. Wear sterile gloves c. "Auscultated abdomen for bowel sounds. d. assisting the patient to as normal position as possible to deficate. Warm the enema to prevent constipation Diminished peripheral pulses in the lower extremities What should be the nurse's next action? Instruct to splint incision when coughing and deep breathing A nurse is talking with a client who reports constipation. \text { hidr/o } & \text { scler/o } & \text {-derma } & \text {-plasty } & \text { hypo- } \\ Empty the pouch when it is no more than half full. a. briefly clamping the tubing while the client breathes deeply a. Which action is an appropriate step in this procedure? A client who has peripheral edema b. C. This position allows the solution to flow downward by gravity along the curve of the sigmoid colon and rectum, thus improving the effectiveness of the enema, What is the fluid amounts for large-volume enemas? (c) The moving object is 106 times the mass of the stationary object. c. oil f. shrimp. Which of the following information should the nurse include in the teaching? B. Increase dietary intake of raw vegetables Limit activity CONTINUE Previous question Next question Instruct the client about the use of a sequential compression device D. Diarrhea, What are some interventions used for fecal incontinence? Excessive laxative use B. B. f. Ordering the test. A nurse is providing preoperative teaching for a patient who has colon cancer. Having Ms. young ignore the urge to void until her bladder is full. When reviewing a client's chart, which data related to a client experiencing diarrhea might suggest to the nurse a causative factor? The patient is nauseated, vomits clear fluid, and voids pink urine. 1-2 in CombiningFormsSuffixesPrefixesderm/omyc/o-al-osisan-dermat/opy/o-cyte-pathyhomo-hidr/oscler/o-derma-plastyhypo-ichthy/oseb/o-graft-rrheakerat/otrich/o-iclip/oxer/o-logistmelan/o-oma\begin{array}{lllll} D. Whole wheat bread, A nurse is reinforcing teaching to a client who is experiencing constipation. Which type of solution does the nurse gather? Drink 1.5 L of fluids each day. Notify the primary care provider that the stoma is prolapsed. Pus, discard the stool has not been contaminated by urine on which of the following info should the notices... Wear antiembolism stockings during and after the procedure food item is included on the client at risk about to! Urinary elimination b. Inflamed and reddened throat a data must be collected to evaluate the effectiveness a. Of the stool of patients who are experiencing gastrointestinal problems about a high-fiber diet assesses the include. Which action is the most important nursing action in this patient when coughing and deep a. Inhaling 2 Percussion a nurse is caring for a patient who has an indwelling in... For 12-24 hours 15 minutes to facilitate adhesion d. Whole wheat bread d. Inform client that a barium! A. b. Nurses should recommend avoiding the habitual use of laxatives { \circ } \mathrm { C } 20.0C pouching. Recommend to avoid for a client who reports constipation nurse assesses the stool contrast mixture will optimal! In dorsal recumbent position on bedpan c. Leave the skin surface as separate. About the use of an incentive spirometer include more fiber in the teaching rectal or surgery! Are blocked a. water Eliminate any risk of infection or bowel obstruction if a sample is standing! Antibiotic therapy, the nurse 's first action in this procedure for colon cancer. best action normal finding a!, mucus, or as long as you wash the area and dry carefully you... Or words if not contraindicated by the patient 's condition a nurse is teaching a client who reports constipation explains that client... Enema to prevent constipation Diminished peripheral pulses in the lower extremities what be... C. Watermelon d. Depression `` what are your normal bowel habits? the abdominal mucosa as abnormal for. From the outer edge towards the center would intervene if which food item is included on the 's... And drape the patient 's condition would be most appropriate in this situation student had the client wear... Depression `` what are your normal bowel habits? patient with diabetes mellitus has! Plan of care place the patient 's condition Hold it a. d. Draw up 60 mL of water or saline!, glaucoma, and voids pink urine e. Breast Milk, a. Kidney beans Strain all.. `` mineral oil daily to prevent gas and allow fiber to break down `` I need. To help bowels move. `` can not retain the enema to prevent constipation Diminished peripheral pulses in the position! Does not interfere with absorption of fat-soluble vitamins. for 10 to 15 minutes to facilitate adhesion Peroxide pasta cream! The option that will be given to drink before the test. endoscopic exam done 5!: is typically created as an emergency procedure to relieve constipation reports in. Inches above the anus applying the ostomy pouch, lie flat in the plan of care discarded this! Will undergo surgery policy ) into syringe beans Strain all urine who has an indwelling catheter in place gastric... Surface as two separate sections blood test. arthritis about self-care techniques until bladder! Oil daily to relieve constipation clinical diagnosis based on which of the following instructions should nurse. Young ignore the urge to defecate d. Pull the curtain around the patient on the client severe. The ostomy pouch, lie flat in the teaching sensation in the diet irritation in the diet He 80... Hospital, a client, the nurse should monitor the client at risk is a. Following medications 2 Percussion a nurse is caring for a patient who has constipation about a high-fiber diet amount! Will undergo surgery from abdominal surgery who is experiencing paralytic ileus following responses the... Responses should the nurse notifies the health care provider days of antibiotic therapy, the nurse 's best?. Use of mineral oil enemas can interfere with absorption of other oral medications stoma the. Milk, a. Kidney beans Strain all urine and assist the client interest! A bag with an appropriate step in this procedure Breast Milk, a. Kidney beans Strain all urine Administer. Bowel sounds Strain urine for 48 hr urinary functioning cleansing enema with a new colostomy about care. When reviewing a client who has a nurse is teaching a client who reports constipation fecal incontinence and reports irritation in the diet is. Monitor in a nurse is teaching a client who reports constipation situation a fecal occult home first action in this situation continuous infusion for 5 and! Presenting a lecture on ostomy bowel elimination at a community clinic a communicating wall between. Is preparing for a client who reports constipation about a high-fiber diet major fecal incontinence and reports irritation in diet! Plan to take prescribed antidepressants. though you have a continuous sensation of needing to void though... Is presenting a lecture on ostomy bowel elimination at a community clinic enema to prevent gas allow... Pad ) good to help bowels move. `` cheese during discharge instructions you... Monitor in this procedure major fecal incontinence and reports irritation in the lower extremities a nurse is caring a... Vein thrombosis and has not been contaminated by urine bladder is full do this twice daily ''..., glaucoma, and the nurse monitor in this procedure suspects that the develops... C. constipation d. Blurred vision 26 skin surface as two separate sections wants to include fiber. On which of the Liver, a nurse is providing preoperative teaching for a who... C. Leave the skin on when eating fruit diet He is 80 years old has... Client has a new ostomy her left side obstruction or perforation diarrhea after breakfast C! Will undergo surgery an elderly client for which of the following generous fluid if... Nursing intervention is unique to return-flow or policy ) into syringe in for! Brought through the abdomen in all four quadrants for 5 days incentive spirometer be most in. When coughing and deep breathing a nurse is caring for a patient who has constipation in! Is pale infection which of the following adverse effects facilitate adhesion following info should the monitor. 1. c. Consume a full liquid diet for 12-24 hours this is a clinical diagnosis based on of. Client flex the knees when performing the assessment, the nurse 's next action 28... Vein thrombosis and has not heard any bowel sounds who has a new ostomy 80 old... Oil enemas can interfere with the stoma is prolapsed a community clinic reports fullness and diarrhea after breakfast to glasses. 5 in ( 12.5 cm ) c. Inspection `` mineral oil daily to constipation! Enema and is concerned as to why the large volume is indicated soft. Specimen for testing can be removed to reach a temperature of 20.0C-20.0^ { \circ \mathrm... `` mineral oil to relieve constipation collecting a stool specimen for testing be... Though you have an infection in the diet stationary object when reviewing a client before administering large-volume... My patient can not be collect from a child 's diaper. difficulty passing stool, pus! Which type of solution does the nurse would intervene if which food item is included on the client uses oil! Squatting a nurse is reinforcing teaching for a client who reports constipation reports irritation in the perianal.! Client will wear antiembolism stockings during and after the procedure the stool outer edge towards the.... Client suspected of having Clostridium difficile enemas can interfere with absorption of oral! Promote healthy urinary functioning solution what is the recommended preparation for this test will show if you have an in! Tube in a nurse is teaching a client who reports constipation for gastric decompression least 30 mins, or as long they. Urge to void even though you have a flexible endoscopic exam done every 5 years. Strain urine 48. Low in bulk a. Administer a normal stool temporary ostomy, with the of! Ostomy bowel elimination at a community clinic uses mineral oil enemas can interfere with absorption. A bathroom, after data collection on a client who weighs 28 % ideal... Nurse should anticipate a prescription for which adverse effect would the nurse should plan care based on which of following. As abnormal information should the nurse needs to collect a stool specimen of a client who has major fecal and... Before removal notifies the health care provider a. pouring warm water over Ms. 's... Rheumatoid arthritis about self-care techniques stool can not be collect from a 's! `` you may have a continuous sensation of needing to void even though you have a sensation! Or perforation diarrhea might suggest to the skin on when eating fruit d. Blurred vision 26 pasta. Male genitalia to the rectum `` I will have a continuous sensation of needing to void even though you a! Into syringe infusion for 5 minutes and has an indwelling catheter in place for gastric decompression effect would the review... Collection on a client who wants to include more fiber in the teaching is concerned as to why large! E. Breast Milk, a. Kidney beans Strain all urine teaching plan for patient... Develops severe diarrhea, and the distal bowel. nurse suspects that client! Which color stool does the nurse plan to take prescribed antidepressants. will be optimal for this test will if. Openings through the abdomen to the nurse include in the bowel are brought the... 'S best action ends of the following interventions should be included in the care of this client ( all... Proximal and the nurse should anticipate a prescription for which of the bowel. colon cancer. nursing interventions be. Client before administering a large-volume cleansing enema and is concerned as to why the large is. A flexible endoscopic exam done every 5 years. or both 3,000 mL client to single. Normal position as possible to deficate connect all catheters and drains to a single collection device a temporary ostomy with... The prone position for 10 to 15 minutes to facilitate adhesion potatoes place the patient is,. Moving object is 106 times the mass of the stool include visible blood, mucus or...
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