The nurse might be hearing wheezing or crackle sounds.
Atypical sounds produced by abnormal airflow through the lungs are called adventitious breath sounds. These sounds can be heard alone or when a doctor listens to a patient's chest with a stethoscope, and can be caused by anything that alters the normal flow of air through the lungs. Abnormal breath sounds can also be caused by non-clinical problems such as foreign bodies and can be the first sign of respiratory illness such as pneumonia.A heart murmur is a hissing or hissing sound caused by rapid, erratic (turbulent) blood flow through the heart. Sounds can be heard with a device called a stethoscope. A typical heartbeat makes two sounds like "labdap" (sometimes called "labdap") when the heart valves close.Therefore, there are many reasons for adventitious sounds.
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The administration of varying amounts of local, regional, and certain mind-altering drugs during a procedure is called:______.
The administration of varying amounts of local, regional, and certain mind-altering drugs during a procedure is called: monitored anesthesia care.
What are mind-altering drugs?
A mind-altering substance has a significant impact on a person's mental state, resulting in emotions of intense happiness and odd ways of thinking.
What is anesthesia ?
Anesthesia is a medical procedure that makes use of anesthetics. With the help of these medications, you are pain-free during medical procedures. Medical professionals who give anesthetic and treat pain are known as anesthesiologists. A portion of the body may become numb with certain anesthetic. You are rendered unconscious (asleep) during invasive surgical operations by general anesthesia.
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The nurse is assisting in monitoring a client who received hydralazine hydrochloride to treat autonomic dysreflexia. which finding accurately indicates that the medication is effective?
Blood pressure declines.
Strong ganglionic blockers such as hydralazine hydrochloride lower blood pressure by dilating blood vessels. If a severe attack of hypertension occurs, it can be administered slowly by intravenous pressure. A spinal cord injury in the upper back can lead to the development of autonomic dysreflexia, a serious condition. It can cause dangerously high blood pressure and an extremely slow heart rate that can lead to stroke, seizure, or cardiac arrest. It occurs when the autonomic nervous system, which regulates automatic functions such as breathing and digestion, overreacts to something beneath the damaged spinal cord. Also called hyperreflexia. More than half of people with upper back spinal cord injuries suffer from it. Dysautonomia is a medical problem that requires urgent attention. It can be life threatening.Therefore, the correct answer is Blood pressure declines.
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Not yet answered question text mrs. ramos is considering a medicare advantage ppo and has questions about which providers she can go to for her health care. what should you tell her?
Mrs. Ramos can obtain care from any provider who participates in Original Medicare but generally will have a higher cost-sharing amount if she sees a provider who/that is not part of the PPO network.
What is Medicare?
Medicare is a government health insurance program available to persons who meet specific criteria, such as those who are 65 years of age or older, have certain disabilities, or have the end-stage renal disease (ESRD), commonly known as irreversible kidney failure.
Some individuals might mix up the Medicaid and Medicare programs. Whereas both Medicare and Medicaid are government health insurance programs administered by the Centers for Medicare and Medicaid Services, Medicaid is a needs-based insurance program while Medicare is not. Your ability to get Medicare is not based on your income.
A monthly fee is required for some Medicare benefits. Furthermore, Medicare does have specific restrictions and guidelines regarding the costs of medical care that it will cover. Continue reading to discover more about each Medicare component, what is covered, and how to sign up.
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explain why there is a growing concern over the physical fitness of children and adolesents
The nurse monitors a client receiving a blood transfusion. the nurse should intervene if which is observed?
The nurse monitors a client receiving a blood transfusion. the nurse should intervene if which is observed the blood infuses at 10 mL/min for the first 15 minutes
R: If there is no response, adjust blood flow to the recommended rate. Blood flow should start off slowly (no faster than 5 mL/min for the first 15 minutes).
Fluid + Electrolyte Balance, 27/30 (Kaplan)
A specialized transfusion record or an electronic device that can produce a report should be used to capture transfusion observations before they are entered into the clinical record. The following should be the minimum monitoring of each unit transfused:
Throughout the transfusion, the patient will be regularly observed visually, and they will be urged to report any new symptoms.
Prior to the transfusion, baseline values for pulse rate, blood pressure (BP), temperature, and respiration rate (RR) must be taken.
Around 15 minutes after the commencement of the transfusion, pulse, blood pressure, and temperature should be assessed (many serious reactions, such as ABO incompatibility or bacterial transmission present early in the transfusion episode). Check RR as well to see if any of these observations have altered.
Repeat the baseline observations if the patient reports new symptoms and take the necessary action. Within 60 minutes after the transfusion's conclusion, check the patient's temperature, blood pressure, and pulse (and as a baseline before any further units are transfused).
Day-care patients should be encouraged to report symptoms that emerge after discharge, and inpatients should be monitored for delayed responses over the course of the following 24 hours (ideally with the issuance of a "Contact Card" providing access to urgent professional guidance).
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The nurse learns that a client is unable to sleep because of high anxiety. on which category of health patterns should the nurse focus?
The nurse learns that a client is unable to sleep because of high anxiety coping-stress-tolerance should be the category of health patterns on which the nurse focus.
The International Council of Nurses (ICN) defines a nurse as a person who has finished a basic, generalist nursing education program and is qualified to practice nursing in his or her nation.
Nurses plan and deliver medical and nursing care to patients with acute or chronic physical or mental illness in hospitals, at home, or in other settings. Important qualities of a nurse include compassion, empathy, and the capacity to handle stressful and emotionally intense situations.
Nursing care refers to help given by or under the supervision of licensed nursing staff to sick or disabled people in order to meet their health care needs.
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A nurse is caring for a patient with pancreatitis experiencing four episodes of vomiting in the last 2 hours. which action should the nurse implement first?
Answer:
Infusion of lactated Ringer's solution as ordered
Explanation:
hop this helps u ; )
The nurse recognizes that the client most at risk for mortality associated with surgery is the?
The answer to the question is Client with chronic alcoholism.
What is alcoholism?Any alcohol consumption that causes serious issues with mental or physical health is generally considered to be alcoholism. It is not a recognized diagnostic entity since there is controversy about how to define the term "alcoholism." The DSM-5 classification for alcohol use disorder and the ICD-11 classification for alcohol dependence are the two most common diagnostic classifications, respectively.
All organ systems can get damaged by excessive alcohol consumption, but the immune system, liver, pancreas, heart, and brain are most vulnerable.
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You are educating your client on taking blood pressure at home. what would be important to include in your client education?
What would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
What is blood pressure?
Blood pressure is the pressure of circulating blood against the walls of blood vessels.
Most of this pressure results from the heart pumping blood through the circulatory system.
Thus, what would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
what would be important to include in your client education on taking blood pressure at home is routine recalibration of the device.
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Which action would the nurse implement when performing peritoneal dialysis for a client?
The answer to the question is Warm the dialysate solution slightly before instillation.
To reduce discomfort in the abdomen and encourage peritoneal artery dilatation, the infusion should be warmed to body temperature. The client should be put in the semi-Fowler position since the side-lying position may limit fluid inflow and inhibit maximum urea elimination. It should take 10 to 20 minutes to infuse the dialysate solution. The infusion of dialysate solution shouldn't be affected by routine drugs.
What is dialysis?Hemodialysis, often known as haemodialysis or just dialysis, is a procedure used to clean the blood in people whose kidneys are not functioning properly.
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The nurse on a post-surgical orthopedic unit receives nursing report on a group of adult clients. which client should the nurse see first?
The nurse on a post-surgical orthopedic unit receives nursing report on a group of adult clients and the client which the nurse should see first is a client who has respiratory rate of 8 breaths/minute.
Orthopedic surgery, or orthopaedics, focuses on the treatment of the system, that has bones, joints, ligaments, tendons, muscles, nerves, and even the skin. There are many various forms of orthopaedic surgery that may treat anything from a birth defect to an injury to arthritis.
Post-surgical care is what you receive after an operation/surgery. The kind of surgical care you wish depends on the kind of surgery you have got, furthermore as your health history. It typically includes pain management and wound care.
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A patient has skin that is slightly blue in color. a likely treatment for this person might be ________.
Answer:
giving the patient supplemental oxygen by mask
Explanation:
When one positions their ideas within the larger conversation on a topic, they are creating a
What - to explore what is already known about a topic/research that has already been
conducted.
one positions their ideas within The larger conversation on a topic is research that has already been conducted. are-
one positions their ideas within the larger conversation on a topic, they are creating In order to give a description, summary, and critical evaluation of these works in relation to the research subject under investigation,
a literature review examines books, scholarly papers, and any other materials pertinent to a specific issue, field of research, or theory. The purpose of literature reviews is to show readers how your research fits within a larger field of study and to give an overview of the sources you used to investigate a particular topic.
Ms. Arlene Fink. Reviews of Research Literature: From the Web to Paper. Fourth printing. SAGE, 2014. Thousand Oaks, California
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The nurse is preparing to teach a class on the benefits of breastfeeding for infants. which benefits will the nurse include in the presentation? select all that apply.
The benefits of breastfeeding for Infants:
Nutritional benefitspreventing infectionsshielded from infectionsprotects from respiratory problems enhances the immune system-Nutritional benefits, Breast milk contains a variety of nutrients that defend newborns against illness and infection. It has the ideal ratio of carbohydrates, fats, proteins, and vitamins. Additionally, it contains leukocytes, living cells that can only be found in breast milk. They aid in preventing infections. Breast milk is the ideal option because it contains living cells, enzymes, and hormones, as well as antibodies.
-They can be shielded from infections and deadly illnesses by human -milk. Infants are shielded from dangerous illnesses including Haemophilus influenza and diarrhoea. Infants who are breastfed have a lower incidence of severe diarrhea.
-The newborn's respiratory tract may receive specific or general immunizations through breast milk, which is crucial in the early postpartum period when the infant's immune system is still developing.
-Mother's milk protects newborns from respiratory problems like dyspnea, wheezing, and other infections connected to the respiratory system throughout the first four months of life.
-It was also proven that breastfed infants had a lower risk of dying from SIDS (Sudden Infant Death Syndrome), with their robust immunity from breast milk protecting them from respiratory and gastrointestinal diseases.
To sum up, all these findings of different studies strongly indicate that mother’s milk develops and enhances the immune system of the new born babies especially in the very initial years of their life.
Cognitive advantages:
Breastfeeding may aid preemies in their cerebral development in addition to the nutritional and immunological advantages. Increases in a child's cognitive abilities and academic success are linked to breastfeeding. With breastfeeding use and duration, cognitive development of social and psychomotor skill gains rises.
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Which theoretical context would be most likely to be concerned with healthy community living?
The theoretical context that would be most likely to be concerned with healthy community living is the nursing theory.
What is healthy community living?A healthy community is one that is filled with people who are product and are not sick whose environments are not riddles with the menace of pathogenic organisms. As such, a healthy community primarily involves people.
Pathogens are those organisms which are able to cause diseases. They could easily be picked up in the environment and they are highly infectious and are able to affect a large populations of people at a time as in during a pandemic.
This is the crux of the nursing theory. The focus of the nursing theory is to ensure that the community is health and free from disease conditions.
Thus, the theoretical context that would be most likely to be concerned with healthy community living is the nursing theory.
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When caring for a child diagnosed with west nile virus, the nurse will question which prescription from the primary health care provider?
The nurse will question the prescription of Amoxicillin 40 mg/kg/day orally every 8 hours.
What is west Nile virus?West Nile virus is a single-stranded Ribonucleic acid (RNA) virus that causes West Nile fever.
An RNA virus is a virus whose nucleic acid material is RNA.
RNA differs from another nucleic acid material, the DNA which is the most common nucleic acid material in tge following ways:
RNA is single-stranded whereas DNA is double-stranded RNA contains ribose sugar whereas DNA contains deoxyribose sugar RNA contains the nucleotide uracil while DNA contains thymineThe west Nile virus (WNV) has been found as the leading cause of mosquito-borne disease in the continental United States.
When caring for a child diagnosed with west Nile virus, the nurse will question the prescription of Amoxicillin 40 mg/kg/day orally every 8 hours because it is used for treatment of bacterial infections.
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A 9-year-old girl learning to be competent at school would be in erikson's psychosocial stage of?
A 9-year-old girl learning to be competent at school would be in Erikson’s psychosocial stage industry vs. inferiority.
What is Erikson’s psychosocial stages?Erik Erikson who is an ego psychologist, has developed a significant and important theory of development in the psychosocial field.
Despite the influence of psychoanalyst Sigmund Freud’s work, Erikson’s placed more emphasis on the psychosocial than psychosexual development. The stages of this theory are:
Stage 1: Mistrust vs Trust (It lasts from Infancy from birth to 18 months)
Stage 2: Guilt and Shame vs. Independence (It lasts from Toddler years from 18 months to three years)
Stage 3: Guilt vs. Initiation (It starts in Preschool years from three to five)
Stage 4: Industry vs Subordination (Middle school years from six to 11)
Stage 5: Identity vs. Confusion
Stage 6: Isolation vs. Intimacy (It is found in young adult years from 18 to 40)
Stage 7: Generativity vs. Stagnation (Found in the Middle age from 40 to 65)
In Stage 8, Integrity vs. Hopelessness (Lasts from Older adulthood from 65 to death)
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When assessing superficial pain, touch, vibration, and position perceptions, you are testing?
When assessing superficial pain, touch, vibration, and position perceptions, you are testing sensory function.
What are Sense organs?These are the organs which consists of a rich network of neurons which help us to perceive different types of stimuli and respond to our surroundings.
The stimuli is therefore sent to the brain via nerve impulses which then processes it to know the next action which is to be taken.
Examples of sense organs include the following:
SkinEyesEars etc.Examples of the stimuli include touch, vibration etc which are detected by the sense organs and is therefore the reason why their assessment is referred to as sensory function.
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A new nurse leader has the opportunity to delegate to a member of the staff. what criteria should the nurse leader be sure are followed before doing this?
In order for the New nurse to delegate, he or she must know the five rights of delegation, their state nurse practice acts, and therefore the working facilities' policies and procedures on delegation.
What is Delegation in nursing?
Delegation in nursing may be a controversial subject. It strikes fear into the guts of most nurses who feel that they are all too often placed in the precarious situation of having to delegate but not entirely sure it’s safe or what it may mean for them. This webinar explores delegation in nursing – either in your everyday clinical practice or once you are in the role of team leading. it's essential knowledge – because knowledge is power. This insight into delegation will reveal when you’re safe and the way to execute this skill with absolute confidence. Delegation is one of the keys to exceptional patient care and a high-functioning, well-integrated team. So knowledge of the way to do this confidently can only be empowering.
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On the first postpartum day after a cesarean birth, the client is prescribed a full liquid diet as tolerated. before providing a full liquid breakfast, the nurse should assess which factor?
If on the first postpartum day after a cesarean birth the client has prescribed a full liquid diet as tolerated, then the nurse should assess the presence of the bowel sounds.
What are bowel sounds?Bowel sounds can be defined as different types of sounds emitted by the gastrointestinal tract of the patient, which may be useful to assess the tolerance to the diet in the client.
In conclusion, if on the first postpartum day after a cesarean birth the client has prescribed a full liquid diet as tolerated, then before providing a full liquid breakfast the nurse should assess the presence of the bowel sounds.
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A nurse is caring for a client diagnosed with rheumatoid arthritis (ra). Which assessment finding does the nurse expect to assess?
According to the research, the correct option is persistent inflammation of the joints. It is the assessment finding that the nurse should expect to assess.
What is rheumatoid arthritis?It is a systemic and chronic inflammatory disease in which the joints become inflamed, producing pain, deformity and difficulty in movement, although it can also affect other parts of the body.
In this sense, the joints that are most frequently inflamed are the wrists, fingers and toes, and there may be difficulty starting movements, said persistent inflammation can end up damaging the bones and ligaments.
Therefore, we can conclude that according to the research, the correct option is persistent inflammation of the joints. It is the assessment finding that the nurse should expect to assess.
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High levels of stress are associated with increased cortisol levels, which can induce cravings for:______.
High levels of stress are associated with increased cortisol levels, which can induce cravings for:
Foods high in fat and sugar
What role does cortisol play in stress?
The hormone cortisol, which is produced by the adrenal glands, aids in controlling a number of vital bodily processes. Controlling how your body reacts to stress is one of its most important roles.
Your adrenal glands release a hormone called cortisol when you are under stress, which temporarily raises blood sugar levels to give you an energy boost. Adrenaline, a hormone frequently linked to the "fight-or-flight" reaction, is also released by the adrenal glands under stress. This procedure enables you to perform better in short-term (acute) stressful situations, such as when you are in danger or trying to meet a deadline at work.
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When looking at a review of systems for an elderly client, which gastrointestinal data should cause the nurse the most concern?
The gastrointestinal data that should cause the nurse the most concern is the reports of constipation.
Aging is associated with a lot of diseases along with decreased body functions. The elderly may face diseases like diabetes mellitus, gastritis, heart diseases, etc. Constipation while aging is not a normal process but is caused by the presence of many factors. Constipation in the elderly is marked by straining rather than decreased bowel movements. It is more to be concerned with due to changes in anorectal function than physiological changes.
Patients with irritable bowel syndrome (IBS) are more likely to experience abdominal pain and discomfort. Side effects from medications like opioids, antacids, etc., and endocrine, neurologic, rheumatologic, and psychological diseases may also cause constipation in the elderly.
The most anxious consequences of constipation include stool impaction in which hardened feces accumulate in the rectum causing a rectal sensation and fecal incontinence. Therefore, the nurse should consider the case of constipation to be cured for the elderly facing gastrointestinal despair.
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The aed analyzes your pulseless and apneic patient's cardiac rhythm and advises that a shock is not indicated. you should:________
Deliver the shock as indicated followed immediately by CPR.
Cardiopulmonary resuscitation (CPR) self-sustains breathing and blood circulation in victims of cardiac arrhythmia and performs additional steps to restore normal heart rhythm, while performing sternotomy to preserve intact brain function. An emergency procedure that includes compressions and artificial respiration. This is called defibrillation. Automated external defibrillators (AEDs) are wearable electronic devices that can automatically diagnose life-threatening arrhythmias, ventricular fibrillation (VF) and pulseless ventricular tachycardia. A small group of cells near the sinus node transmit electrical signals during a normal heartbeat. As the signal travels through the atria, or atrioventricular (AV) nodes, the ventricles contract to pump blood. An irregular heartbeat is called an arrhythmia (uh-RITH-me-uh).The shock must be delivered followed by CPR.
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The nurse is assessing a patient for the movement of the hip ball-and-socket joint. which range-of-motion (rom) exercise should the nurse ask the patient to perform to assess adduction?
The nurse should ask the patient to move the leg back toward the medial position.
What is nursing assessment?A nursing assessment is a process of gathering relevant patient information by a registered nurse.
The nurse should ask the patient to move the leg back toward the medial position and beyond if possible so as to check for adduction in the hip joint.
Nursing assessment helps a nurse to give accurate help to a patient and reduce the risk of wrong medications.
In conclusion, there are specific range of motion exercises for different nursing assessments as it helps to identify the needs of a particular client.
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Your patient has a glasgow coma scale (gcs) score of 13, a systolic blood pressure of 80 mm hg, and a respiratory rate of 8 breaths/min. is revised trauma score (rts) is:__________
The revised trauma score (RTS) is 9.
What is revised trauma score?Based on a patient's initial vital signs, the Revised Trauma Score (RTS) is a physiologic grading system. A lower score denotes a more serious injury.
Glasgow Coma Scale, systolic blood pressure, and respiration rate are the three components that make up the Revised Trauma Score. The range of scores is 0–12. According to START triage, a patient with an RTS score of 12 is classified as delayed, 11 as urgent, and 3–10 as imminent. Because it is extremely improbable that they will survive without a lot of resources, those with an RTS below 3 are considered dead and shouldn't receive particular care.
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What is a possible consequence of abusing intravenous drugs such as
heroin?
A. Improved appetite
B. Alcohol poisoning
C. Hun transmission
D. Lung cancer
Combining energy drinks with ____________ has become common but is not advised because of possible adverse health effects associated with this practice.
Combining energy drinks with Alcohol has become common but is not advised because of possible adverse health effects associated with this practice.
What is Health?Health may be characterized as a circumstance of complete physical, mental and social well-being and not entirely the absenteeism of disease or any other infirmity.
According to the context of this question, the intake of energy drinks is beneficial for individuals in order to deliver energy as soon as possible. But the probable mixing of these energy drinks with alcohol leads to numerous negative health impacts. This leads to overall negative or abnormal health-related consequences for the individuals.
Therefore, combining energy drinks with Alcohol has become common but is not advised because of possible adverse health effects associated with this practice.
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Physical exercise, sleep, and exposure to nonstressful but stimulating environments are most likely to promote?
Physical exercise, sleep, and exposure to nonstressful but stimulating environments are most likely to promote Neurogenesis. The process through which neural impulses are created in the brain is known as neurogenesis. When an embryo is developing, neurogenesis is important, but it also continues in some parts of the brain after birth and throughout life.
What strategies can we use to enhance our neurogenesis?An Environment which is Rich:
Learning a new skill, traveling, picking up a language, forging closer or more varied social ties, and facing intellectual challenges are all stimulants of neurogenesis.
Exercise:
Exercise is seen as a remedy for health since it has profound effects on both the body and the mind.
Diet:
We are what we consume, and the body cannot successfully make new cells of any type without the proper biological components to work with it.
Psychoactive Drugs:
Although it is unlawful for the general population to consume most psychoactive substances, there is interest in using them medically to cure diseases or ailments of the brain.
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An older adult client is prescribed a beta blocker. before administration, the nurse will question the prescription if the client has which health problem?
An older adult client is prescribed a beta blocker and before administration, the nurse will question the prescription if the client has the health problem of chronic obstructive pulmonary disease.
Beta blockers work primarily by deceleration down the heart. they are doing this by block the action of hormones like internal secretion. Beta blockers sometimes return as tablets. they're prescription-only medicines, which suggests they'll solely be prescribed by a GP or another appropriately qualified care skilled.
Most common beta blocker medications include Acebutolol (Sectral), Atenolol (Tenormin), Betaxolol (Kerlone), Bisoprolol (Zebeta, Ziac), Carteolol (Cartrol), Carvedilol (Coreg), Labetalol (Normodyne, Trandate), Metoprolol (Lopressor, Toprol-XL), etc.
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