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Comprehensive Review of Final Exam Topics Discussed Transcript: \[0:00\] Speaker A: God. For the final. Okay, you guys know how the final works. We've talked about it numerous times, so I've already been working on it. And then from exams one and two, contents, it's all set in stone. And these are...

Comprehensive Review of Final Exam Topics Discussed Transcript: \[0:00\] Speaker A: God. For the final. Okay, you guys know how the final works. We've talked about it numerous times, so I've already been working on it. And then from exams one and two, contents, it's all set in stone. And these are the things that will be covered. Exam three, I'm going to pull that information as soon as I do your exam analysis on the exam you guys just took. Overall, looking at that exam, you guys did great on it. I just have, like, a quick overview look at it, but I haven't dug into it to do, like, the dosage counts and all those, but I usually grade those when it's on an honor lock. But as of, like, a rough review, it looked good. All right, so for chapter ten, our concepts there that we're going to focus on are electrolytes. Obviously, we can't have a final without electrolytes on there because that was a big concept on that first test. So the two main electrolytes are sodium and potassium. So that's the ones that you're going to be tested over. There's not about the ranges for it. Your main things are going to be the clinical manifestations that you're going to see with it. So potassium, we know are EKG changes, leg cramping, weakness, paresthesia, sodium, we know it's going to be like neurological stuff, right? Altered mental status, risk for seizures. Those are the things we're going to focus on for our sodium and potassium treatment. Potassium treatment you need to know about. But outside of that, you don't need to know specific treatments for either one of those. And then nursing considerations can come off as well. Iv fluids, that's the isotonic. The hypotonic, the hypertonic, that's going to be knowing which ones we give to which patients. So, like hypotonic, remember, we don't use those for our patients that we're worried about. Cerebral edema. Right. Because they're going to cause more cellular swelling. If you are worried about cerebral edema, you're going to use hypertonic. So just knowing the hypotonic isotonic, hypertonic, the difference of the three and which one you're going to use for which patients. And that's your key thing to think about, is to read more of these fluid losses and gains. That's just that generic question about me asking you to identify these sources of fluid losses and fluid gains. So what are some examples of fluid losses that sometimes people forget about or that we can't measure? Anybody? Sweating. Yeah, the sweating respirations is another one that gets missed. So think about on those questions. Anything that says anything with intake is not going to be a source of output, right. Even if it's something that's going to dehydrate the patient, not output. So your things are going to be like vomiting, diarrhea, urinary output, sweating, respirations, those types of things. Fluid volume deficit. Knowing your clinical manifestations, fluid volume deficits and the geriatric considerations goes into this as well. Knowing our patients that are at higher risk for becoming dehydrated. So our elderly population, we know that they don't have those healthy coping mechanisms, so they're more likely to become fluid volume deficit, but causes, it can be anything from exercising out in the heat, gastroenteritis, right, where they're vomiting and diarrhea. Excessive salt intake can cause dehydration. So just be familiar with the causes. Your clinical manifestations are going to be the biggest, big things that you're going to want to focus on. So that's the tinting of the skin, the dry mucosis, membranes, the hypotension, tachycardia, those things. And then our treatments. How do we treat blood volume deficit? So we're going to do something before iv bolus. What do we want to do? What's our first way? We try to get somebody fluids, have them drink like their preferred drink? Yeah, yeah. Oral intake is going to be key. Right. If they can't take oral, then we move to iv. But Blanco is exactly right. We offer them their favorite beverage of choice. Right. That's going to be what we're going to go to first. Obviously, we want water or something with electrolytes, but if they won't drink that because they don't drink it, then we're going to want whatever their beverage of choice is. And then if that doesn't work, then we move to iv fluids. So that's our treatments there. Fluid volume excess, knowing those manifestations, causes and treatments. So your manifestations of that are what? Edema. They can have crackles in the lungs. They have that JVD, high blood pressure. So those are all signs of you having fluid volume excess can be caused by either excessive fluid intake, excessive iv administration of fluids, excessive salt intake, because it's going to pull it in and our treatments are diuretics for it. So next one on for chapter ten is acid base imbalances. There is no questions on there about clinical manifestations. There's not any about treatment of it. It is just straightforward. I give you an ABG and you interpret. Okay. I think there's two or three total of ABG's and you just interpret what the ABG imbalance is. Okay, geriatric considerations. I already told you guys what to look for there questions about any of chapter ten. Remember, these are all concepts that you all scored 90 or above on your first exam. I try to do 100%, but there's some that there wasn't enough for 100%. So the majority are like 90, 94, 100%. Chapter 48, there's only two concepts on there and it's glomerular nephritis. And so basically, just knowing what glomerular nephritis is and the patient populations we see it in, so specifically that post strep glomerular nephritis, remember, it's when there's inflammation of that glomerulus with post strep, they have strep week to two weeks prior, and then it causes that antibody antigen complex that embeds in that vascular lining and causes inflammation. And so we're going to see the spilling of the protein, we're going to see large amounts of edema with these patients, and then you'll see a renal failure as a result of it as well. And then as far as acute renal failure, that's just going to be the lab changes you're going to see associated with acute renal failure. So if you have a patient you're worried about acute renal failure, what kind of labs are you going to expect to be off on them? GFR. Yep. GFR is going to be what usually increase or decrease? Decrease. Decrease. And then what's your other two labs that you look at? Is it bun and creatinine? Done it. Bun and creatinine. And what are they going to do? They're going to go increase, right. They're going to go up and your GFR goes down. If it's improving, write the opposite rv unit. Correct. And start going back to normal. And our GFR increase. All right. Any questions about that chapter? Okay, chapter 47. Two concepts on there as well, abnormal urine findings. So I'm not sure if you guys remember, but it's just basically, I'll describe a patient scenario for you and then you're going to tell me what urinary changes you would expect to find on that patient. So if I was to tell you a glomerular nephritis patient, you're going to tell me that you would expect a lot of protein in that urine. If I tell you I have a dehydrated patient, you're going to tell me that urine is going to be very concentrated, right? So tea colored, concentrated. If I tell you you have a fluid volume overload. Patients on diuretics, you're going to tell me that urine is going to be real pale and dilute. So that's kind of the abnormal urine findings that I'm talking about is based off of the scenario I give you. What would you expect that urine to look like on that patient? Okay. And then urinary function changes with aging. What happens to our kidneys as we age? What happens to that kidney function? That GFR that I think Derek mentioned, what happens? Decreases. Like their function? Yes. Yeah. Their function decreases as they age. Each year we age, we lose a small little percentage of that GFR. We also lose the ability to concentrate. That's why they're more at risk for those fluid electrolyte imbalances from chapter ten. But your main thing is we. That GFR slowly decreases as we age. Anything about 47, question wise? I know we're running through them, but it's because it's stuff y'all seen before. And I'm also going to. We're going to plan for, if you guys are up for it, either one day later this week or Monday, when I get the second part of this done, get back on, and I'm happy to answer any specific questions and go over that as well. And then we'll have cahoots. Chapter 49, renal calculi. So that's going to be your clinical manifestations for renal calculi. What clinical manifestations do you see? Or kidney stones. What do you see on those patients? Right, that cv angle tenderness, dull aching, pain, radiate to their groin. What's another clinical manifestation you'll see with renal stones? Every blood in the urine. You got it? Yep. Blood in the urine. So that's all you need to know for that is your clinical manifestations. And then UTI is clinical manifestations in. Well, what. And then prevention. All right, so what clinical manifestations for UTI do you guys expect? Delirium, burning, foul smell. Yep. So I heard delirium, which is very common. Right. They can have some ultra men effects. I heard burning bowel smell. So those are your things. Urgency, hesitancy. They may have some blood in the urine, but not always right, tenderness. But your key things are that urgency, hesitancy, frequency, dysuria, the burning when they urinate, foul smell to the odor, and some altered mental status, especially in our geriatric population. And then, prevention wise, what are things we tell our patients to do to prevent them from getting used cotton underwear, avoid baths, stuff like that? Yeah. Drink water, avoid irritants. Right. Wear cotton underwear, don't do tough baths, don't hold their urine. All those things. Those are good things to always know. You'll see that on nclex. You're going to see a gazillion UTI patients in your time that you'll have to do that education for. All right. Urinary retention. Urinary retention is going to be complications we see from it. So what is the biggest complication that you can see from urinary retention? Is it with the stentic abdomen breathing? That's a clinical manifestation you can see is that it'll be distended. But what happens if you're in somewhere for a long period of time? Yeah. It's going to cause an infection. Right. Uti. So your biggest complication that you see associated with urinary retention is going to be an infection. That's what we worry about with those patients the most. And then nursing strategies is the other thing you need to know about urinary retention. So things you can do as a nurse to help that patient relieve their urinary retention. So that's gonna be like providing them privacy, right? Nobody likes to urinate in front of people, sitting them upright. If they're laying in a bed, we're gonna have them sit upright. If they're a male, we may have them stand on the side of the bed. You try to use the urinal. A lot of times, men can't lay in bed to use the urinal. So that's your nursing strategies. Running the hand under warm water, running water in general, the tapping of the pubic bone. Do you all remember us talking about all those? I know it's been a long time ago, but those are your strategies as nurses for the urinary retention. Big things are privacy and positioning, though. Those are quick, easy things we can do. Urinary incontinence. This is going to be able to identify the type of urinary incontinence. So I'll describe it to you and you're going to tell me if it's a stress urge. I think those are the only two that we went deep in, deep into. So be able to tell me if it's a stress versus an urge incontinence. So what's stretch stress incontinence. Stressed urinary incontinence. How would you describe that to a patient? If I'm your patient and the doctor just diagnosed me with stress urinary incontinence? How are you going to describe that to me? Is that the one where, like, if they laugh or they do something and then it causes them to be incontinent? You got it? Yep. It causes stress down on that bladder is how I remember it. So coughing, sneezing, laughing, all those things as a result of that weakening of the pelvic floor muscle, any of that extra stress down causes it to leak out. And then what about urge incontinence? How would you describe that to a patient? Isn't that when they have the urgency to go, they can't hold it? You got it. That's the gotta go commercial that I think only one of you had ever heard about when I mentioned it. But it's the one where they have that urgency. Like, all of a sudden it hits them and they've got to go to the bathroom. Right then where it leaks. Indwelling catheter care, that's going to be your nursing interventions. That's gonna be your nursing interventions to prevent infections, is what you need to know about indolent catheter care. So what's some things that we do as nurses to prevent our patients from getting utis? You would want to make sure that it's hanging low so it, it's not pulling in their lower bladder at, as well as cleaning it, keeping an eye on the urine. Yeah. So doing perineal care, we don't do vigorous perineal care. Right. We do routine perineal care, but we're not vigorous with anything. Making sure the bag is below the level of the bladder, using the stat locks, using sterile technique. When we put the catheter in. Did I say emptying the bag every so many hours. Okay. Emptying the bag at least every 6 hours. Six to 8 hours. You just don't want that bag to get too full. Right. So if that bag is about two thirds full, we want to make sure we're emptying it so it's not backing up and causing urinary stasis. So those are all the things for indwelling catheter care. Questions about any of that? Okay, chapter 53, male reproductive disorders. What is phimosis? Can I remember? So your key thing you're going to know there is, you're going to need to know the clinical manifestations, because you're going to want to identify that if I describe it to you. So thymosis is the whole reason why we pull that foreskin back. We clean really good, we dry it and we put it back. Right. Because if not, it can get infected. And so then that's when we're going to see the pale color tip, the red area with the purulent drainage around the head of the penis, and then it'll be pale, either distal or proximal to it. Okay. So make sure you know the clinical manifestations for phygnosis. PDE five considerations in education. What about those? What do you know about those guys? What are PDe five s? Isn't that the erectile dysfunction? Yep. That's your erectile dysfunction meds. So that's your Cdlafil Viagra. And what is it that we make sure they don't do with those medications? Well, you don't want to take it with. It just slipped out of mine. We just had a big. Yep. With nitrates. Yep. So nitroglycerin is your big thing there that you want to make sure that they don't take it with it because it can cause vasodilation and decreasing that blood pressure. My brain is tripping out at this point. I know. I was like. And that's kind of why, like, a lot of it, I'm just giving to you guys on this exam review versus making you guys answer more because y'all just got there doing a test. I'm sure your brains are, like, fried at this point, and you just want your exam grades is all you really want from me right now. But I know you also want this for studying for the final. All right. Testicular cancer, clinical manifestations is what you need to know about that. So what is the clinical manifestations we associate with testicular cancer? That painless swelling or lump, and it's going to be unilateral. Okay. So that's what you need to know about testicular cancers, your clinical manifestations. Continuous bladder irrigation complications, like what you're going to assess for how you calculate Ino for it. And I'll send out this updated. I'm adding stuff as we were talking. So intake and output with CBI going. And that's all for that. Okay, so complications, what is, what's going to be a big warning sign to you that your patient's having a complication from continuous bladder irrigation. What's going to be an assessment that you're going to see on this patient? You're not getting out the amount you put it in. Correct. You should always get out the amount you put in. So if you're not getting that, you're not having that accurate ino, you need to check for blockages because if it continues, it can cause that bladder to rupture, but your patient will then a lot of times tell you they're having severe bladder pain. Right. That lower abdominal pain, ten out of ten. And that's a good indication to you that there's an occlusion there of some sort and that bladder is going to rupture if we don't correct it. All right, questions about that chapter. Okay, chapter 46, diabetes, type one versus type two. You don't need to know complications outside of what I have on here. Separate but mainly the difference between the patho and type one and type two. Remember, type one are those alpha cells. We lose those itself, destroys those beta cells in the pancreas. And so then we're not producing any insulin in type one. Type two is more of like our insulin resistance that develops over time. So just make sure you know the difference there and then know your clinical manifestations for both types of diabetes. So our three P's, right, the polyuria, the polyphagia and the polydipsia are your main things there. Metformin use what we're going to educate our patients for. So if they ask you why they can't take it in the hospital, knowing how to respond to that, if they're having a circum, knowing what we're going to do for that, that's what those are. Over. Hypoglycemia is the one complication you do need to know about. You don't need to know causes. You need to know clinical manifestations and how you're going to treat it. Okay. That's a big one. I think it's really, really important to know those. So make sure you know that your other complication is down here at the DKA and know your clinical manifestations of DKA and how you're going to treat that as well. Okay. Insulin use. There is a sliding scale question on there. There is another question about, if I give this type of insulin at this time, when am I going to expect that blood sugar to drop for a complication to happen? So make sure you review the times of each of your insulins as far as your rapid acting and then, and diabetic long term complications. That's our foot ulcers is the one you need to know about for that and the preventative measures you do to educate patients on preventing foot ulcers. All right, questions about chapter 46. No? Okay. All right, 17. Chapter 17. Thoracentesis, positioning and your complications. So how do we position patients for that? Thoracine pieces. Does anybody remember? You want them sitting up on the side of the table? Yep. You don't put them up. Put a pillow right there where they can just lay over the pillow. You don't have to have the pillow, but it's nice if we give them a pillow. The main thing is we're going to sit them up and almost in that tripod position over the table. And then what complication is most common to occur with a thoracentesis? You may know if we put a needle into your thoracic cavity, what's something we can do to you? Is it like the pleural effusion? It's going to be actually pneumothorax. Pneumothorax? Yeah. The pleural effusion is what we actually will drain the fluid by using a thoracentesis. So it's the treatment for it, but the complication will be a pneumatic thorax. We can cause a rupture there, put that needle through that lung lining so it opens that air up. All right. Bronchoscopy, post procedure care. So just remembering, if we have that patient that just had a bronchoscopy done, what things is nurses we're going to be watching for. It's always going to be airway, right? We sedated them, so we got to make sure they have a gag back before we give them any oral intake. So airway, hemodynamic monitoring, and then gag before we get foods or fluids. Calculating pack years, that one. Straightforward. Any questions about any of those three concepts in chapter 17? Chapter 18 is your upper respiratory tract. So that's your Uri. Uri, you know, upper respiratory, whether it's the fluid flu, whether it's Covid, whether it's rhinovirus, whatever, allergic rhinitis, whatever it is, it's always going to go back to symptomatic care. Symptomatic care is going to go to fluids, rest, and then managing those symptoms. Right. So those are your big key things. So patient education, you're going to think about things that I'm going to tell consistently to these patients. Rest, fluids are going to be the key ones. Okay, laryngeal cancer or laryngeal cancer. What's your big clinical manifestation for laryngeal cancer? Is that the hoarseness? Hoarseness, correct. So hoarseness, especially if it persists. Right. If we have hoarseness, that doesn't go away. That's what we're worried about is laryngeal cancer. Epitaxis. That's going to be your nursing intervention or patient education. You're going to do for patients when they have nosebleeds. So obviously avoid picking, putting anything in their nose, avoid blowing the nose, straining, that kind of stuff. But leaning forward, right. Pinching right on the bridge of the bone there is where we want them to pinch at. Don't lean back. It'll drain down their stomach. Upset their stomach can possibly cause them to vomit. All right, questions about those? Yeah. All right. Chapter 19, tuberculosis, clinical manifestations of tuberculosis, you do need to know, so make sure you know those night sweats, cough, weight loss, all those clinical manifestations. Know what PPE you need to wear for it. I'm taking some things off here because that took a while back after I created this. So for tuberculosis, just clinical manifestations and your PPE are the only things you need to know. Okay. So what PPE do we do for tuberculosis? Isn't that airborne? It's airborne. So they're gonna be, that's gonna be the gown, the. The n 95 mask and all that stuff. N 95, they're going to go in a negative pressure room. Right. Those are your big things. And then your clinical manifestation, how do we prevent atelectasis in our patients? What's something you can tell your patient to do to prevent atelectasis from developing as breathing? Yeah. Deep breathing, coughing. Using the incentive spirometer. Right. So those are all things. Turn, get up and walk. So make sure you know all those things that you do as nurses. There were several questions on that exam over that, so just, I don't remember which wordings we've used, but it's important to know how we as nurses prevent patients from getting atelectasis, because that interferes with that BQ shunting that can take place and gas exchange. So we need to know how to prevent it from happening. Chest tube, removal of a chest tube. What do you tell the patient to do when you're going to take that chest tube out? Take a deep breath and hold it. Yep. Take a deep breath and hold it. And then what about air leaks? How do you assess for air leaks? Where do you see air leaks? You would see the. I was saying is that the. Where you would see the continuous, like, bubbling. You got it. Continuous bubbling. In which chamber do you all remember water seal in the water seal chamber. Correct. Correct. So that's the thing, is being able to identify air leaks and knowing how you're going to tell a patient to remove the chest tube. Okay. Lung cancer. What's your clinical manifestations for lung cancer? Is it persistent cough? Yep. Persistent cough is a big one. Right. Especially if they are smokers and have a high pack history. Right. So we're going to pair it with. There's lots of things that can cause a persistent cough, but that's going to be your main thing for lung cancer, especially if they're smokers. Pneumothorax. What's your clinical manifestations for pneumothorax? Deviated trachea. Yep. You can have a deviated trachea. What else can you have? Remember the air hunger? Anxious. They get real anxious. Air hunger, deviated septum, abnormal breath sounds. If I'm going to listen, I'm not going to hear air exchange on that side. Right. Because it's not going the way it should. So those are your clinical manifestations for pneumothorax? Unequal chest rise. All right, any questions about chapter 19? Okay, chapter 20 is obstructive sleep apnea. What's the clinical manifestations for obstructive sleep apnea? Snoring. Waking up. Cloud snort. Snoring. Daytime sleepiness. Daytime sleepiness. I'm trying to think if there's any other ones. Y'all need to. I think y'all fit on them. Snoring, daytime sleepiness. You can see some elevated blood pressure. The significant other or person that lives with them, a lot of times it will say they stop breathing at night or have periods of apnea, but your big ones are your daytime sleepiness, even with a good night's rest. And then you're snoring. And then how do we treat obstructive sleep apnea? CPap. CPap. And what does a CPap do for a patient? If you were going to tell your patient about a CPAP, how would you explain it to them? Continue while you sleep? Yeah. Yeah. It gives that little bit of positive pressure to keep the airway open. Right. While they're sleeping. Does it breathe for them? No. No. So just make sure you know how to explain the CPAP to a patient, what it is. And then I flipped off, guys, sorry. And then cop. What's your clinical manifestation? And so COPD, you know, that broad umbrella. We have chronic bronchitis and emphysema there. So what's some clinical manifestations that you associate with those patients? Is that where it's like bronchitis or the blue bloaters and emphysema? Pink pumpers. You got it. You got it. So that's your big things there. Your barrel chest patients or your emphysema patients. Right. But, yeah, knowing the difference between those blue bloaters and the pink puffers. Yeah. That's your clinical manifestation there. And then special considerations for ADL's and oxygen delivery. So what is it we have to keep in mind for those patients when we get them up doing their ADL's or walking around or any kind of activity, especially if they're in the hospital, for an exacerbation, you would have to modify their ADL's because they might not be able to complete them. And the same man. Correct. So we have to monitor or assess our patient. Right. If they're ever having difficulty breathing, we're going to give them rest periods. What is going on with my computer? Trying to look something up, and it won't do it. So clinical manifestation. I was looking because I didn't narrow that one down to make sure I'm not missing anything for you guys on that one. With what I'm telling y'all to know, do you have a patient that is smoking? Right. And they're COPD or what? Something. As a nurse, you're gonna maybe suggest to them smoke cessation. You got it. Smoking sensation. All right. So that is all you need to know about that. And then trachostomy. So have a patient with the trach, like, know how you're going to suction that and then how you would recommend the patient communicate if they're struggling with communicating. So I have a trach. What's a good way that you can tell me to communicate? It's like writing on the board or a piece of paper. Yep. Use a communication board or write on the board. Right. Okay, sorry. Somebody just put a meeting on my calendar so that I was trying to figure out where it came from and it popped up for me to join it. So care, communication. And then how do we suction? How do we know when we need to suction a patient with a trach? What are some things you're going to see with those patients? Like the sounds, like adventitious sounds. Yep. Yep. You're going to hear that gurgling or crackles, hoarse sounds. You may see a drop in their sat. You may see their respiratory rate increase. So that's all going to be things you're going to use to determine. You need to suction patient. And then asthma, clinical manifestation. You see with asthma, what are your symptoms there that you see with asthma patients? Wheezing. Wheezing? Right. They're wheezers. So they get wheeze. They wheeze. They may be dysmic. Right. They may have some tachypnea but your big things. Wheezing. And how do we treat it? What's our big treatment we usually do for asthma patients. Butyra. Albuterol. Yep. And what is albuterol? What type of medication is that? An inhaled what? Brongotaginator. It's a bronchodilator or beta two adrenergic. Right. So just make sure you know those questions about any of those. I know I kind of got distracted there because I had a meeting pop up and it threw me, and I was like, I don't have a meeting for today. I wouldn't have scheduled it because we were on here. So asthma, wheezing, dyspnea, kidney. The treatment's gonna be our albuterol. So an inhaled beta two adrenergic or trachostomy. We need to know how we're gonna do trach care, trach suctioning, when we would assess for it, and how we're gonna communicate to help those patients communicate with it. So communication boards, writing things down, that kind of stuff, the COPD, those clinical manifestations, the pink puffers and the blue bloaters. And then knowing about the ADL's that we have to watch them closely because their oxygen levels may decrease, which happens because they don't have that reserve. And things we're going to educate them on about smoking sensation. Okay, questions about any of that with the asthma, is it just going to be that albuterol? All right, any other questions, guys? Okay, I'm going to put together some cahoots for you guys. The cahoots may not be beneficial because this is stuff you've seen before, but I'll still do them for you. And then I'll look at the exam three right now and pull the concepts for that to put on here. And then I'll send out today the rest of the study guide from that exam. Okay. And then do you guys want to meet on Monday to talk through those concepts and cahoots? Yes. No. Is there a day we could do earlier than Monday? So, um, like, Fridays or I even Sunday? I have sim lab on Monday, so that would be awesome. Yeah. I don't know if I can do Friday because I have. I'm not. I don't know if I'm gonna have help for the sim lab that I'm running this Friday. And it's from 07:00 a.m. to 05:00 p.m. if I have help later in the day of Monday. I don't. I don't really want to do later in the day Monday, I. I feel like it's just so close. And then the next day, like, half of us all have clinical, so we don't even get to study most of Tuesday. Gotcha. We could. Let me discuss with my family. Okay. I could possibly do Friday after I get home from Simla. Okay, let me just make sure they don't have any plans. If not, I can do Saturday morning. Would that work for everyone? If we can do that? Okay. Okay. So I'll let y'all know. I'll talk to them today and then let you know if it'll be Friday night or Saturday morning that we'll do it. Okay. I just have them all day Friday, and I don't know if I'll have anybody to run that sim for me, so I can't commit to that until I know for sure. Okay. Okay. Recorded per usual, right? Yes. Yeah, I was gonna ask that too. Thanks, Tiffany. I've recorded what we did today, and as soon as it comes through to me, I'll have to. It's been working weird. For some reason, it's not recording to the cloud like it normally does, so that's why I've been having to send you all the link for it. But y'all have still been able to pull the link up when I'm sending it, is that correct? I'm assuming nobody's told me they haven't been able to get into it. Is it working when I send the link? Yes. Yeah, it works. Okay. Okay, perfect. So if it doesn't go to the cloud, where I can post it in Panopto, where you can go. That way, I'll have to email the link out to you guys like I have been doing. Okay. All right. Any other questions or anything? I just have a question about the test afterwards. Okay. Everyone can drop off them, and I'll see you all later this week. The recording has stopped.