A nurse is preparing to administer haloperidol 5 mg IM at 1715. d. Nurse. MSC: Management of Care. All questions are shown, but the results will only be given after you've finished the quiz. c. Give the child equipment to handle and practice on a doll. d. Vastus lateralis b. A nurse is teaching a class about error - prone abbreviations in medication prescriptions. This is a Premium document. The nurse should not leave the narcotic unattended and call the health care provider to obt ain matching The patient should Copyright 2021, Elsevier Inc. All rights reserved. ), -Administering medication outside of prescribed time intervals, A nurse is reviewing the pharmacokinetics of medications with a newly licensed nurse. then releasing the skin c. Place the wasted portion of the medication in the sharps container. Sample Question. At the patients bedside c. Once I start feeling better, I will stop taking my antibiotic. I will rotate the sites in my left leg when I give my insulin. d. Tuberculin syringe realizes that did not check the identification of the patient before administering medication. Which of the following actions should the nurse take? On several visits, Mr. B's blood, Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. Crushing the medication is safe and can prevent gagging on pills. A nurse is preparing the administer cephalexin 500 mg PO every 6 hr. A nurse is preparing to administer an injection to a patient. greater consistency in absorption of medication. A nurse is preparing a medication and calculates the dosage as 6.25 mL. A nurse is preparing to administer an injection to a patient. Which action will the nurse take? child? A nurse is preparing to administer haloperidol 5 mg IM at 1715. MSC: Management of Care, DIF: Analyze (analysis) To Ultimately, the person administering the medication is responsible for ensuring that it is correct. OBJ: Describe factors to consider when choosing routes of medication administration. The nurse should administer how many mL? A nurse has withdrawn a narcotic from the medication dispenser and must waste a portion of the medication. _______. I am allergic to many medications. How many mL should the nurse administer per dose? View Video Case Study 12.06.docx from NUR 1022C at Keiser University, Orlando. c. 3 underreacts to the medication. TOP: Implementation c. Pinching the skin at the injection site, and then inserting the needle to below Softening the suppository is not indicated. If the medication is administered at 0900, the trough DIF: Apply (application) Which actions will the nurse take? Assume the fuel-air mixture behaves like an ideal gas with =1.40\gamma=1.40=1.40, Which of the following should be the same in identical twins? muscle development associated with firmly established walking. they are designed to be absorbed in the small intestine. medication administration. statement by the patient indicates understanding of the teaching? blood. A nurse is preparing to administer potassium chloride powder 20 mEq PO in 6 oz of water. b. DIF: Apply (application) OBJ: Calculate prescribed medication doses correctly. b. nurse to intervene immediately? medication is given, making it easier for the nurse to withhold medication if necessary. a. Rolls insulin vial between hands. TOP: Implementation MSC: Pharmacological and Parenteral Therapies. How many tsp should the nurse administer per dose. For an intramuscular injection into an adult deltoid muscle, a 25-gauge, 1-inch needle is recommended. : an American History (Eric Foner), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. ANS: A Connect the infusion tubing to the medication bag. Regulate flow. Ati injectable medication administration posttest quizlet. ANS: D nasolacrimal duct for 30 to 60 seconds. Rounding this amount to the nearest tenth, the nurse should administer . MSC: Pharmacological and Parenteral Therapies. remain in the side-lying position 2 to 3 minutes. crucial that the full course of medication is taken to avoid relapse of infection. d. Allowing the IV solution to stand for 10 minutes to enhance even distribution injection into subcutaneous tissue, spread the skin of the selected vaccine administration site taut between the thumb a nd forefinger, b. The human body comprises the respiratory system, circulatory system, Cardiovascular system, and so on. The last shot really irritated my skin around the site. OBJ: Discuss nursing roles and responsibilities in medication administration. Which action by the nurse is How long has your child been walking? A nurse administers a vaccine without aspirating. by the student indicates understanding of the teaching? Which of the following routes of administration should the charge nurse include as having the slowest onset of action? a. The nurse should include that which of the following factors can affect the rate of absorption? A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. A nurse is caring for a client who is receiving 0.9% NaCl IV at 75 mL/hr through a triple lumen central venous access device. Adding a medication to the formula will cause the formula to curdle. MSO4 10 mg IM Q3H PRN pain. a. Ready to take your exam? All the other actions are appropriate and do not need follow-up. Rounding this amount to he nearest tenth, the nurse should administer how many mL? OBJ: Describe factors to consider when choosing routes of medication administration. Which of the following actions should the nurse take before administering the medications? obtaining a good blood return, the patient reports pain. A nurse is preparing an intravenous (IV) piggyback infusion. How many tablets should the nurse administer? Rounding this amount to the nearest tenth, the nurse should administer how many mL? The nurse measures the area of induration, not erythema. a. degree angle. DIF: Understand (comprehension) OBJ: Discuss factors that influence medication actions. action? The medication is known to be irritating to tissues. d. Is your child right- or left-handed? The patient is emaciated and has very little muscle mass. minutes to allow absorption of the drug. It is r, that, when administering IM injections, the Z-track method be used to minimize local skin irritation by sealing the medi, muscle tissue. A water-soluble lubricant should be used. Encourage the patient to cough and deep-breathe. As needed (a) 0.5kgm/s0.5 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}0.5kgm/s Available is erythromycin ethylsuccinate suspension 400mg/5mL. ATI Medication Administration. d. When selecting medication from the unit-dose drawer mixed by holding the bag or bottle and turning it end-to-end, mixing it gently. Break the tablet into halves or quarters. a. OBJ: Compare and contrast the roles of the health care provider, pharmacist, and nurse in medication administration. ATI Medication Administration 1 Post Test Study online at https:/quizlet.com . (d) 10.0kgm/s10.0 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}10.0kgm/s. "Adding a medication to the formula will cause the formula to curdle." b. A nurse is preparing to administer glipizide 5 mg PO AC. The nurse is about to give a rectal suppository to a patient. Verifying the patients identity, using two identifiers, before administering any medication is It also prevents the deposit of medication Connect the tubing of the piggyback infusion to the appropriate connector on the upper Y-port. that are painful or cause stains to the tissues. Which of the following actions should the nurse take when administering IV therapy? a. Bending the needle to prevent reuse blood return is not aspirated, even if the IV is patent. A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN for pain. muscle tissue. A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125 mL/hr. Find an equation of the line tangent to the following curve $y = \frac { \cos x } { 1 - \cos x }$ at the given value of $x = \frac { \pi } { 3 }$. When will the nurse A 27-gauge, 5/8-inch needle is used for intradermal. A 3 mL and U-100 can result in inaccurate dosing. 2021-22, The cell Anatomy and division. ANS: A a. apply heat. I should insert the needle and inject the medication without aspirating for d. Crush the tablet as needed to ease administration. (review sheet 4) Ch.1 Test Bank - Gould's Ch. b. Next, reduce the answer to its lowest terms, convert it to a decimal as needed, and round it off to a measurable quantity if needed. d. Experiences alertness. 2 meter ssb amplifier; 5mge carb conversion; jamie davis towing employees; b. A nurse is preparing to administer codeine 30 mg PO every 4 hr PRN for pain. Save. Medication Calculations You have an order to administer phenytoin (Dilantin) oral suspension 100 mg TID per feeding tube Dilantin oral suspension is supplied to you in a 5 mL bottle which contains 125 mg/mL. 1400 The nurse should administer how many L? A patient who is being discharged today is going home with an inhaler. Which of the following actions should the nurse take? c. Ventrogluteal the faster a medication is absorbed. c. do nothing. TOP: Teaching/Learning MSC: Pharmacological and Parenteral Therapies, DIF: Analyze (analysis) ANS: B stand for 10 minutes may not be sufficient to mix the medication into the fluid. this is not how the order was written. Using the Z-track method Then the patient needs to remain lying on the left side for 15 to 20 The prescribed dose is 100 mg/day (4 25 = 100), -Have a second nurse confirm the insulin dose. a. Insert the needle, bevel up, at a 30 -degree angle. a. done with things that stain the skin (iron) and antibiotics that burn, vastus lateralis - leg should be bent, relaxed. (b) 2.0kgm/s2.0 \mathrm{~kg} \cdot \mathrm{m} / \mathrm{s}2.0kgm/s Test ATI Pharmacology Test 1 Quizlet. Thoroughly shaking the medication mixes the medication before administration but does not affect absorption. OBJ: Differentiate among different types of medication actions. ANS: A Enteric-coated tablets should not be The vastus lateralis is the preferred site of injection of drugs such as immunizations for may miss the full dose if they do not consume the entire amount. For daily insulin, rotate site within anatomical area. Practical Nursing 94% (32) 1. Learn. The nurse should never alter an order without the p rescribers A nurse has received a prescription to administer a medication STAT to a client. On several visits, Mr. B's blood pressure was found, Directions: Consider the scenario below, then follow the instructions underneath it to complete the discussion. A patient has been prescribed to receive 0.3 mL of U-500 insulin. A 2-year-old child is to receive eardrops. About us; Ask an Expert; Studocu World University Ranking 2023; E-Learning Statistics . a. Once I start feeling better, I will stop taking my antibiotic., If I am 30 minutes late taking my medication, I should skip that dose., Im really afraid that a big needle will hurt.. d. Encouraging the patient to lie on his or her left side for 15 to 20 minutes Which medication will the nurse administer to be absorbed the (Select all that apply. Practical Nursing 100% (9) 14. Falls asleep is an opposite effect of what a central nervous system stimulant should do. ANS: A ordered is 12. Deep breathing and coughing will assist in c learing (review sheet 4), Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, A patient is to receive hydromorphone (Dilaudid) 1 mg IV push now. b. What is the magnitude of the change in momentum of the ball? d. The tablet may be dissolved in liquid but not crushed and put in food. What How will the nurse respond to the patient? 1 CHE101 - Summary Chemistry: The Central Science, Physio Ex Exercise 8 Activity 3 - Assessing Pepsin Digestion of Proteins, CH 13 - Summary Maternity and Pediatric Nursing, Lesson 8 Faults, Plate Boundaries, and Earthquakes, Database Systems Design Implementation and Management 9th Edition Coronel Solution Manual, The Deep Dive Answers - jdjbcBS JSb vjbszbv, Chapter 01 - Fundamentals of Nursing 9th edition - test bank, Quick Books Online Certification Exam Answers Questions, Lab 3 Measurement Measuring Volume SE (Auto Recovered), Hesi fundamentals v1 questions with answers and rationales, 324069444 Introduction to Mastering Chemistry, Philippine Politics and Governance W1 _ Grade 11/12 Modules SY. And then reduce numbers to their lowest terms most appropriate documentation of a medication, make that. For PEG tubes (and nasogastric tubes), medications are poured into the barrel of the DIF: Apply (application) OBJ: Calculate prescribed medication doses correctly. OBJ: Correctly and safely prepare and administer medications. medication has been given. English (US) United States. Gaseous and volatile medications are excreted through gas exchange (lungs). d. By 1200. 0830 An 18-gauge needle is too 5, 2, 1, 3, 4, 6 Transdermal patches provide more consistent blood levels. c. Counting medications in the medication cart drawers Set 1. The Z-track method is used for medications known to irritate tissues or for medications tube. refuse to give the medication and notify the supervisor. syringes; and discarding all disposable syringes and needles in the appropriate puncture- Verify the medication's compatibility with the primary IV solution. Which nursing action is vital to ensuring Give the patient hydromorphone, as it was meant to be written. Pulling the lobe and Position patient in the supine position for 30 minutes to 1 hour. Lowercase characters should remain lowercase, and uppercase characters should remain uppercase. Match. OBJ: Identify the six rights of medication administration and apply them in clinical settings. Before going to the patients room a. Flushing the lock Which of the following actions should the nurse take? d. The subcutaneous route is used because absorption is faster this way. intermediate-acting insulin. Each study guide is designed to reflect the material on the exam. Enteric-coated or After administering an intradermal (ID) injection for a skin test, the nurse notices a small Patients should lie on their left side, not the Study with Quizlet and memorize flashcards containing terms like A nurse is preparing to administer erythromycin ethylsuccinate 800 mg PO every 12 hr. dosages; the nurse is expected to obtain the correct dose. The patient is also taking 2 Placing medications that require pre-administration assessment in a separate cup serves as a reminder to check before the How many mL should the nurse administer per dose? The client last received the medication at 1 p.m. A patient with asthma is to begin medication therapy using a metered-dose inhaler. A 3-mL syringe is too small for this procedure. OBJ: Differentiate among different types of medication actions. convert milligrams to grams. 1500 How many tablets should the nurse administer per dose? During the first 10 to 15 min of administration, which of the following assessments is the nurse's priority? Term. c. You may use the deltoid site when using this method. NPH cannot be given IV and must be stopped. after insertion The nurse should include that which of the following prescriptions has acceptable abbreviations? the pinna down and back. TOP: Implementation If a cotton ball is needed, place it into the outermost part of the ea, Because there is no syringe currently designed to prepare U-500 insulin, many medication errors result with this kind of, prevent errors, ensure that the order for U-500 specifies units and volume (e.g., 150 units, 0.3 mL of U-500 insulin), a, tuberculin syringes to draw up the doses. I may take a sip of water after placing the tablet in my mouth. In other words, a is encrypted with b, b with a, c with d, d with c, and so on. Which of the following actions should the nurse take? -Place the medication reconciliation form with the client's transfer documents. ANS: C, D, E a. b. How many mL should the nurse administer per dose? The other options are not appropriate situations As soon as the patient leaves the hospital. If there is any question about a medication order because it is incomplete, illegible, vague, or not understood, contact the health The patch can always be cut when dosage adjustments are needed. DIF: Apply (application) Needles should not be forced into the box. Aspirin is an analgesic, an antipyretic, and an antiinflammatory medication. Implementation MSC: Management of Care, DIF: Analyze (analysis) The tubing is to be flushed with 30 mL of c. Do not crush or break the tablet before administration. 1 that, when administering IM injections, the Z-track method be used to minimize local skin irritation by sealing the medication in A nurse should use which of the following units when measuring weight? The provider has prescribed 1 g ceftriaxone IV. c. Crush enteric-coated medication and place it in a medication cup with water. ANS: A. The nurse should include that which of the following prescriptions has acceptable abbreviations? A nurse is preparing to administer clindamycin 0.3 g IM to a client. A suspension is a mixture in which drug particles are dissolved in solution. The dosage range is 200 to 400 mg a day (5 40 = 200 and 10 40 = 400). The route describes how the medication is actually given to or taken by the patient. Verifying orders with another nurse c. Develops restlessness. (NPH) insulin is ordered, prepare the regular insulin first to prevent the regular insulin from becoming contaminated with the How many tablets should the nurse administer? -The deltoid muscle can be used to administer intramuscular injections, Julie S Snyder, Linda Lilley, Shelly Collins, Exercise Physiology: Theory and Application to Fitness and Performance, Edward Howley, John Quindry, Scott Powers. A nurse is preparing to administer 650 mg of acetaminophen syrup to a client. medication, so in this case it is the nurse. c. The tablet may be done if a small amount of pudding is used. d. Measure liquid medication by bringing liquid medication cup to eye level. I should put firm pressure on the injection site to decrease the risk for -Encourage the client to ask questions. remaining. The other sites are not appropriate for infants. immunizations to toddlers, older children, and adults (not infants) and only for small volumes ANS: D A nurse is providing discharge teaching to a client. How can I be sure you will write my paper, and it is not a scam? c. Lubricating the suppository with a small amount of petroleum-based lubricant Which -Have the client perform a return demonstration of the procedure, A nurse is performing a medication reconciliation for a client who is being transferred to a long-term care facility. Available is amikacin 250 mg/mL solution for injection. It will take 2 tablets (0) to equal 1 mg OR ordered dose (1) over dose on hand (0). preferred site for adults and children. Which of the following instructions should the nurse include? When giving medications, the nurse will use Standard Precautions, which include what The nurse will use You can use either method below (or an alternate method) to determine the answer If A nurse is reviewing measurement systems to perform dosage calculations with a newly licensed nurse. It is not excreted through the How many mcg should the nurse administer?, A nurse is preparing to . OBJ: Correctly and safely prepare and administer medications. Suspensions are liquids in which particles are mixed but the importance of verifying the six rights of medication administration. TOP: Assessment MSC: Management of Care. Implementation MSC: Management of Care. place medication into the conjunctival sac where it remains for up . Glargine is supposed to be given by itself; it cannot be mixed with another d. Increase fluid intake. ANS: B b. The needle should be inserted at a 10- to 15-degree angle. d. Sit the child up to insert the cotton ball into the innermost ear canal. MSC: Management of Care, DIF: Understand (comprehension) infants. The proper technique for a subcutaneous injection for an obese patient is to pinch the skin Mouth d. I will not need to refrigerate liquids once they are reconstituted. a. The supervising nurse is observing several different nurses. The nurse should notify the health care provider first and ask for clarification on th e order. Having the patient lie on his or her right side, unless contraindicated Become Premium to read the whole document. The nurse needs to administer insulin subcutaneously to an obese patient. A nurse is preparing a medication and calculates the dosage as 6.25 mL. c. Hospital The dose a. Stomach When preparing and administering IV piggybacks, use the following steps: Compare the label of medication with the medication Do not assume that a medication that is ordered for a patient is the correct medication or the correct dose. d. Large intestine. Most medications administered by the nurse are by injection. tuberculin syringes to draw up the doses. The nurse has an order to administer an intramuscular (IM) immunization to a 2-month- warfarin, fluoroquinolones, proton pump inhibitors), hold the feeding for at least 30 minutes before or 30 minutes after medication ANS: A DIF: Apply (application) 23 gauge 1/2 inch d. 50 days after discharge. correct? A nurse is preparing to administer regular insulin 15 units and isophane insulin 40 units subcutaneous at 6:30 a.m. At which of the following times should the nurse administer the medication? d. Exit the medication room to call the health care provider to request an order that 3. c. Discarding all syringes and needles in the trash can If the Oral meds are contraindicated in patients with nasogastric suction. ( B ) the set of MHC molecules produced Enteric coated medications should not be crushed. A patient is to receive a proton pump inhibitor through a nasogastric (NG) feeding tube. ATI Skills Module: Medication Administration 1 Identify guidelines for safe medication administration. The ultimate responsibility and accountability are with the When adding medications to a bag of intravenous (IV) fluid, the nurse will use which A relational operator is used to compare data items. intestine. The supervising nurse is watching nurses prepare medications. -To convert g to mg, move the decimal point 3 places to the right. The drip rate is 10 gtt/mL. consumed, the nurse will have difficulty determining how much dose was received. It is a gaseous medication and cannot be suctioned out of the lungs. selected. a. By 1030 In which area does the nurse anticipate the care provider before administering the medication. With some medications, such as antibiotics, it is ANS: B Rotating injections within the same body part (instrasite rotatio n) provides ANS: A How many tablets should the nurse administer per dose? Good luck! Drugs given sublingually should be placed under the tongue. Medication administration record The client's health history Physician's desk reference The client's BMI record 10 of 20 Term A nurse is reviewing the medication administration record for a client who has metastatic . (Select all that apply. Preschool children should be allowed to play with and handle equipment and give play Adobe Reader . DIF: Analyze (analysis) ANS: C How many mL of orange juice should the nurse administer? orders for oral meds. Metoclopramide 10 mg IM Q6H PRN nausea The nurse is teaching a nursing student about giving liquid medications. The nurse should set the infusion rate to administer how many gtt/min? what method to reduce systemic effects after administering the eyedrops? The particle is at AAA when t=2.00st=2.00 \mathrm{~s}t=2.00s and at BBB when t=2.20st=2.20 \mathrm{~s}t=2.20s. Determine the magnitude aaya_{\mathrm{ay}}aay of the average acceleration of PPP between AAA and BBB. c. Withdrawing the elixir from the container using a syringe without a needle a. Acetaminophen 650 mg PO b. d. Flush tube with 10 to 15 mL of water, after all medications are administered. medications interact with formula in vivo, package information will indicate this. b. Pharmacist By pairing easy-to-use and easy-to-understand . Patients giving subcutaneous medication should be taught not to aspirate after inserting nurse give the antibiotic medication? and more. patients information. Piercing a blood vessel during a subcutaneous injection is ve ry rare. c. The medication must be absorbed quickly into the tissues. a. TOP: Assessment MSC: Pharmacological and Parenteral Therapies, DIF: Apply (application) A patient is ordered to take an extended-release medication twice daily but has difficulty isolating the muscle. ), -Ask the client what they know about the nitroglycerin patch. d. My legs are too obese for the needle to go through. The nurse administered the A nurse is preparing the administer cephalexin 500 mg PO every 6 hr. The only insulin that can be given IV is regular. a. Before administering any medication, what is the nurses priority action regarding patient ANS: B TOP: View ATI dosage calculations parenteral (IV) medications.pdf from NUR 112 at Reid State Technical College, Evergreen. ANS: D a. Administer the drops without pulling on the ear lobe. A nurse is preparing to administer an intradermal injection to a client. Download. If a patient has additional subcutaneous tissue to go through, a needle of a different size may be Sociology Exam 1- Study . Acidic medications pass through the gastric mucosa rapidly. d. Aspirate before administering a subcutaneous injection in the abdomen. Wait 1 to 2 minutes between puffs if a second puff of the same medication has been Never administer IV medications through tubing that is infusing blood, blood products, or parenteral nutrition The medication comes ANS: D Cutting the patch is not Test. A nurse is preparing to administer epinephrine hydrochloride 0.5 mg subcutaneous stat. -Use passive listening skills. The nurse cannot return the wasted medication to the medication dispenser. The ANS: C medications. Rounding this amount to the nearest tenth, the nurse should administer how many mL? : an American History (Eric Foner), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Psychology (David G. Myers; C. Nathan DeWall), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. 1 tablet The supervising nurse must intervene with the nurse who is drawing up the NPH insulin first; if regular and intermediate-acting They should not apply pressure. 7:15 a.m. The area should not be Five Rights of Drug Administration: 1. the nurses first priority is to. c. Needleless syringe d. 1, 5, 3, 4, 2, 6. Which statement patient who is receiving iron dextran. The amount available is acetaminophen syrup 160mg/5mL. c. Pinch up the deltoid muscle of an adult patient receiving a vaccination. OBJ: Correctly and safely prepare and administer medications. When should the 9 Modules / ~18 hours / ~300 drill questions</p> <p>5 Assessments / 25 questions each with rationales</p> <p></p> <p>Reason and problem . Continued therapeutic benefit . Children up to 3 years of age should have the auricle pulled down and back, children 3 years of age to adults should hav, auricle pulled upward and outward. Drug levels fluctuate less with the patch. The amount available is codeine 10mg/5mL. 2 DIF: Apply (application) ANS: D the medication more quickly. d. 2 tablets, The patient is to receive phenytoin at 0900. The muscle development, A nurse is preparing a medication and calculates the dosage as 0.893 mL. 2. Sit the child up for 2 to 3 minutes after instilling drops in ear canal. Medication Administration - March 2021 10/15-Hour Training Course for Adult Care Homes 6 10/15-Hour Medication Test Answers - Continued Part 3: Dr. Smith has ordered a STAT dose of oral liquid cough syrup for Mrs. Jackson.
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