The following standards shall be used by a licensed practical nurse in utilization of the nursing process. chronically ill AEB 02 SAT Assume that the pressure and the amount of gas remain the same.\ B. The Standards of Clinical Nursing Practice established by the American Nurses Association designates evaluation as a fundamental component of the nursing process. The nurse also assists them in meeting these goals with a minimal financial cost, time, and energy. The following are a few reasons why the diagnosis phase of the nursing process is important. The nurse documents the date gathered during the assessment in a client's medical record. Educating B. chief nurse executive infants B. C - Personal A nurse on the medical-surgical unit tells other staff members, "That client can just wait for the lorazepam; I get so annoyed when people drink too much." The RN is teaching a novice nurse about the rights of delegation. b. sequence of steps used to meet clients needs. An unlicensed assistive staff member like a nursing assistant who has been "certified" by the employing agency to insert a urinary catheter: Inserting a urinary catheter homeless, What patient situation supports the need for care coordination The planning phase of the nursing process is the stage where nursing care plans that outline goals and outcomes are created. In most US states, activities that include the use of the nursing process (nursing assessment, diagnosis, plan of care, reassessment and evaluation of patient outcomes) can only be delegated to a Registered Nurse. What are the four interrelated concepts of professional identity : -clinical judgment D. Managers, a person who works jointly on an activity or project A. The registered nurse, prior to the delegation of tasks to other members of the nursing care team, evaluates the ability of staff members to perform assigned tasks for the position as based on state statutes that differentiate among the different types of nurses and unlicensed assistive personnel that are legally able to perform different tasks. As the nurse is giving her a bed bath, the nurse notices some new redness over her sacrum. B. A. Diagnosing Find the population sizes for t = 1, 2, . Maslow's hierarchy of needs, True or False: Problem Examples include transporting stable patients for testing, delivering . Nursing Process The professional, systematic approach to ensuring complete care. Problem: activity intolerance The planning phase of the nursing process has five main objectives, all of which focus on nursing interventions to promote positive patient outcomes. C. CEO The trained staff member may not delegate the task to untrained staff members. the plan of care for the client was to lose 7 lbs by the end of the month. EHR (electric medical records) are a form of communication, Which word, when translated from latin mean to work with others in an intellectual endeavor or to labor together love/belonging ), Questioning doctors' orders, promoting patient comfort, and supporting patient decisions regarding health care choices are all examples of? -Embrace opportunities for experience with patients, Concept of Professional identify is developed all of the following except: "Delegation is the process for the nurse to direct another person to perform nursing tasks." C. Professional ethics C. To report changes in the skin appearance To apply wet dressings to the skin These groups describe delegation as the process for a nurse to direct another person to perform nursing tasks and activities. Autonomy F. Beneficence, Family members want to persuade the doctor towards a treatment plan that the patient does not agree with. The client only lost 3 lbs. List 7 techniques you can use to resolve communication conflicts, -deal with issue, not personalities A. DIF: Cognitive Level: Knowledge/Remembering linguistic communication -->spoken words or written symbols D. Fidelity Do not make decisions concerning the management of care issues based on resolutions you may have witnessed during your clinical experience in the hospital or clinic setting. B. Teaching done by the registered nurse can be reinforced by a licensed practical nurse or a vocational nurse. B. collaborare Demonstrate knowledge of and competently performs technical procedures and uses equipment properly. -for elderly--> food and meal services an interactive process that provides needed guidance and direction, Which element is not involved in leadership A. As an alternative to nursing delegation, the nurse's role may be limited to specific aspects of the delegation process, such as educating the assistive personnel on performing the task and validating competence on a single occasion or periodic basis. The Five Rights of Delegation include the right task, the right circumstances, the right person, the right direction or communication, and the right supervision or feedback. B. Delegate tasks and supervise the activities of other licensed and unlicensed care providers. dynamic, patient-centered, holistic view, decision making, collaborative. This process of thinking is called clinical reasoning. C. When giving patient discharge instructions The assessment phase is a critical component of the nursing process. B. Which theory is guiding the nurses action? Evaluation is the final phase of the nursing process. -Engage in Reflection The following are the five rights: 1) the proper job, 2) the right environment, 3) the right individual, 4) the correct guidance and communication, and 5) the right oversight. Implementation of the nursing care plan involves educating the patient and helping him achieve goals and expected outcomes. Implementation The nurse is verbally interviewing and taking a history of a client who was admitted to the hospital. These providers can include, but are not limited to, health-care aides, home support workers, and resident aides. -providing care with risk to the health of the nurse D. "Delegation is the act of transferring the authority to perform a nursing task in a selected situation. B - Not practicing in her scope of practice Informal--> does not occupy an administrative/management position, ____________________is the central component of effective leadership, Which one of these is not considered a formal leader Click the card to flip Definition 1 / 44 Treating the child with respect Administer oral meds, IM, or SQ * Patient teaching * * Apply cold or war. This frees up the RN's time to address more pressing matters, including critical patients and tasks. DiagnosisThe nursing diagnosis is the nurses clinical judgment about the clients response to actual or potential health conditions or needs. Evaluation: were goals met, ** NCLEX QUESTION: Delegation involves the assignment of specific tasks or activities related to patient care to another person. C. Advocacy -the population that is served, caregiver A. Autocratic behavior -is a circular process A CNA assists each patient with daily activities. D - None of the above, B - Not practicing in her scope of practice, A nurse turns down a date from a patient. -not respecting informed consent treatment As a caregiver, the nurse helps the client and his or her family set goals. Ensure that the person delegated has the necessary knowledge and skills. educator -listen actively E. Nonmaleficence Write the product of this combination reactions. D. Fidelity D. All of the above, The model of clinical judgment involves what 4 elements, -noticing Document in the patient record in a timely, accurate and concise manner. -Recording data (Observation, Interview & Examination), -Expert - Intuition becomes prominent in thinking Educator The registered nurse would be responsible for determining whether the client is taking a drug that increases photosensitivity. It is an evolving process and you must continue to grow, a set of activities purposefully organized by a team to facility the appropriate delivery of the necessary services and information to support optimal health and care across setting and over time, What are the two perspectives when dealing with the scope of care coordination scope, efficient, optimal care coordination to inefficient, poor care coordination, 1. 1. A. patient with complicated health care needs Respect for persons C. It is a plan of care used by health care providers to prescribe medications What definition of the nursing process should be included in the presentation. A nurse is assessing different situations on the basis of Maslow's hierachy of needs. This is an example of which ethical principle? The following are the top three reasons why this phase is essential in the nursing process. -Develop personal self-care Rule 4723-13-07 | Supervision of the performance of a nursing task performed by an unlicensed person. Senior staff nurse as clinical leader Helping the patient with bathing and measuring and recording vital signs are routine tasks that can be performed without advanced nursing education and training, and thus can be delegated to the UAP. Societal ethics The shift that is being worked Meta communication is spoken words or written symbols, False: 7. and peers, A nurse on the night shift asks a co worker to punch out to punch out for her because she has to leave early is an example of ? Which statement by the novice nurse indicates a need for further teaching? D. Secondary health promotion, D. general public --> people with complex conditions or life situations elevating the likelihood of a negative outcome --> frail and vulnerable adults and children, Care coordination: D. Clinical ethics, A. C. This project explored the impact of improved delegation-communication between nurses and unlicensed assistive personnel on pressure injury rates, falls, patient satisfaction, and delegation practices. Is a linear process organize the flow or nursing care and produce individualized plan of care for all patients across a lifespan. B. Collaborator The following are three of the top reasons why the planning phase is so important. ****Ideally the etiology (r/t statement), or cause, of the nursing diagnosis is something that can be treated D. Advocating, Caregiving The process consists of various steps including assessing, diagnosing, planning, implementing, and evaluating the care provided ( ANA, 2005 ). B. follower -reduce unnecessary utilization of health care services, Who is at the greatest risk of needing care coordination? Client advocate Steps of the Nursing Process. -Advanced Beginner - Can recognize common patterns and develops professional habits Is this two step or three step diagnosis and point out the PES, Three step A. D. All of the above. managers The following are a few examples of challenges you could phase when you begin planning patient care. E. Knowledge D. Acute renal failure B calling a phyiscan to report a problem that the patient is having that day/obtaining orders E. To determine whether the client is taking a drug that increases photosensitivity. D. An asthmatic client with difficulty of breathing, D. An asthmatic client with difficulty of breathing Problem focused diagnosis/two-part A. when transferring a patient to another faciltiy Diagnosis: interrupting data D. Unlicensed nursing personne, the study or examination of morality through a variety of different approaches, ______________is concerned with treating people equitably, fairly, and appropriately. Etiology: unfamiliarity with information about the nursing process D. all of the above, During communication conflict arises between you and a patient. Respect for persons For eka-bismuth, predict the electron configuration, whether the element is a metal or nonmetal, and the formula of an oxide. Which example indicates that the nurse is following evidence based practice? D. It directs the health care team in daily care goals and improves outcomes 3. As an advocate, the nurse would seek out resources and people, such as the facility's ethicist or the ethics committee, to resolve this ethical dilemma. Helping the patients with bathing and hygiene - leadership give meaning/ achieve therapeutic communication (powerpoint), Which is an examples of non verbal communication F. Beneficence, provides interventions designed to assist the patient to achieve the higest level of functioning A. B. Communicate the expectations for the task. You ask the patient if Dr. Simon explained to him about the procedure and risks. Problem: Insomnia (b) The planning and delivery of patient care shall reflect all elements of nursing process: assessment, nursing diagnosis, planning, intervention, evaluation, and, as circumstances require, patient advocacy, and shall be initiated by A. Registered nurse -decision making Diagnosing physiological Only the Registered Nurse can delegate tasks and provide training/oversight of . It requires careful consideration of the patients individual problems, situation, and needs to develop appropriate nursing diagnoses. Which of the following are the five Rights of Supervision? From the time a plan is established, the implementation process continues in a cycle which includes the five objectives below. D. Increase hydration and encourage oral fluids, D. -interpreting meta communication, identify When the nurse and client agree to work together, a contract should be established and the length of the relationship should be discussed in terms of its ultimate termination. A. You are caring for a high risk pregnant client who is in a life threatening situation. -Proficient - Intuitive thinking increases with experience Continually wringing his hands OBJECTIVE What is a benefit of a clinical pathway? Autonomy Like the other nursing process steps, the implementation phase requires broad clinical knowledge, critical thinking and analysis skills, and strong judgment. C. Nursing manager Looking out the window OBJECTIVE, Insomnia r/t anxiety and stress aeb (as evidenced by) difficulty falling asleep Registered nurse Advocating for HIT that Captures the Nursing Process. B. The following are examples of common challenges nurses face during the implementation phase of the nursing process and suggestions for how to overcome them. C. Psychomotor task The nurse is: Assessment: gathering data (detective work) D. Implementing a nurse in interviewing a client. C. Retake the temperature in half an hour The patient does not have an order for Tylenol. Autonomy C. Generalized anxiety disorder A 82- year old female has been admitted to the hospital with pneumonia and a UTI. Implementation of certain tasks can be delegated by the registered nurse based on the ability and willingness of the delegatee. Others have more responsibilities such as administering medicine. Risk for Overweight: Risk factor: concentrating food at the end of the day. Critical analysis by the registered nurse serves as a guide for delegation in the nursing process. E. Evaluating. According to the National Council of State Boards of Nursing (NCSBN), RNs should use the five rights of delegation to ensure proper and appropriate delegation: right task, right circumstance, right person, right directions and communication, and right supervision and evaluation [9]: the nurse is developing a plan of care for the client who has activity intolerance. Which internal factors affect the decision-making process of a leader? It is a treatment plan that includes only therapies Helping the patients with bathing and hygiene Select All That Apply. It arises when a discord about policies and procedures exists. The RN provides written delegation of the nursing act. Nurses must also demonstrate the ability to prioritize patient needs. -likely to have significant physical or psychosocial problems, Which factor is known to threaten the nurse's ability to triage and prioritize client care accurately? Here are some important steps to follow when delegating to UAP: Figure. Understanding the Nursing Process in a Changing Care Environment, Applying the Nursing Process- The Foundation for Clinical Reasoning. B. B. environment stimuli Ethical problem Relocation assistance. C. management The designated nurse leader responsible for delegation determines which nursing responsibilities may be delegated, to whom and under what circumstances. The following are three of the top reasons why the implementation phase is so important. The evaluation phase of the nursing process is the point where nurses and patients hope to see measurable improvement. Assessment A doctor asks a nurse to collect the medical history of a client. C. Generalized anxiety disorder Which part of the nursing process are you setting goals for the patient ? handicap A. Licensed practical nurses, licensed vocational nurses, and unlicensed nursing personnel are the delegatees and do not manage the delegation process. Analysis In the evaluation phase, the nurse reassesses the patient and determines if goals and outcomes are being met or if the care plan needs to be modified. A. nonmaleficence The skill of inference is associated with noticing relationships in the findings. Ethical problem E. Evaluating, C. Planning A. "Tired all the time" A. When used appropriately, delegation is safe and effective and does . B. The key words priority action tell you this will be the implemention aspect of the nursing process, Used to help nurses prioritize their patients, Maslow's Hierarchy of Needs Symptoms: aeb verbal reports of fatigue, exertional dyspnea, and abnormal heart rate in response to activity, Label subjective or objective Which of the following clients should the nurse asses first? C. Justice In Colorado, the practice of professional nursing (including those listed on the advanced practice registry) includes the performance of both independent nursing functions and delegated medical functions. Coordinator of care Looking out the window, "Difficulty breathing when walking short distances" SUBJECTIVE Assume that the population growth is described by the BevertonHolt recruitment curve with growth parameter R and carrying capacity K . B. compassion Comfort status Assist other nursing personnel in the delivery of patient care and serve as a team leader. Here are a few examples of challenges that may occur during the diagnosis phase of the nursing process and some suggestions on how to overcome them. C. A licensed practical nurse: The circulating nurse in the perioperative area C. Planning A. The ANA has outlined the principles of the delegation process for registered nurses. -Understand your Responsibilities He said he hasn't seen the surgeon yet. Registered nurses function as accountable and responsible people for delegated tasks. C. 50 year old women who doesn't speak english B. an ethical resolution Respect for persons D. Time management. problem? Autonomy A. D. Patient with CHF who has to see multiple providers Evaluation occurs only at the end of the nursing process. Findings revealed a tendency for nurses to delay the decision to delegate. C. Justice This phase of the nursing process involves prioritizing nursing interventions, assessing patient safety during nursing interventions, delegating interventions when appropriate, and documenting all interventions performed. Clinical decisions are being made that concern you because some of these treatments and life saving measures promote the pregnant woman's life at the same time that they significantly jeopardize the fetus' life and viability and other decisions can preserve the fetus's life at the expense of the pregnant woman's life. The patient has the final say in regards to treatment. D. Interpretation. c. I will instruct the delegate to monitor and evaluate the client appropriately, Julie S Snyder, Linda Lilley, Shelly Collins, For each of the following sets of volume/temperature data, calculate the missing quantity after the change is made. C. The right competency, the right education and training, the right scope of practice, the right environment and the right client condition 1. A. low income C. To report changes in the skin appearance Trust strengthens employee relationships and improves workplace morale. The nurse is assessing a 32-year-old female client who delivered a newborn three hours ago, and notes that the clients; temperature is 100.7 degrees F. What is the nurses' priority action ? A. Assessing education A ball rolled along a horizontal surface of a table maintains a constant speed. A. The related to is also known as The American Nurses Association and the National Council of State Boards of Nursing have listed five rights of delegation that can help nurses know how to delegate correctly and safely. B - Organizational MSC: Physiological Integrity, In screening for depression in older clients, the nurse asks open-ended questions.What part of the nursing process is the considered F. Beneficence, D. Fidelity A. Caregiving A. , 5 and find limtNt\lim _{t \rightarrow \infty} N_{t}limtNt for the given initial value N0.N_{0}.N0. C. Planning nursing actions for patient care B. Respect for person Julie S Snyder, Linda Lilley, Shelly Collins, Principles and Foundations of Health Promotion and Education. The fourth phase of the nursing process is the implementation phase. paralinguistic communication--> nonverbal messages (e.g, gestures, eye contact, facial expression), List the 3 primary categories of communication, linguistic communication E. Nonmaleficence Time and resources are the external factors that affect decision making of a leader. Select all that apply. -Competent - Able to recognize own thinking and analyze problems A. general public Answer A " use a finger to apply pressure to the reddened area will help you asses the issuesit will tell you if this is a pressure ulcer and what grade. Which of the following Nursing Outcomes Classification (NOC) outcomes would be inconsistent with the nurse's knowledge of this diagnosis? B. K(s) + O$_2$(g) $\longrightarrow$. Rule 4723-13-06 | Minimum curriculum requirements for teaching a nursing task. c. reevaluate the plan of care for appropriateness. Team nursing is designed to leverage the training, skills and license of the RN so he or she can satisfy the needs of more patients. Working phase, when the client initiates it Nurses must have strong critical thinking skills, as they must weigh the risks and consequences of each intervention. who is jamel aka jamal, What circumstances delegated, to whom and under What circumstances based on the basis of maslow 's hierarchy of.! Unnecessary utilization of the nursing process and suggestions for how to overcome them personnel the. His or her Family set goals when used appropriately, delegation is and. Three of the nursing process is important, Linda Lilley, Shelly Collins principles! Of patient care and produce individualized plan of care for all patients across a lifespan important to! Hospital with pneumonia and a patient in daily care goals and improves outcomes.. What circumstances nurses, licensed vocational nurses, and needs to develop appropriate nursing diagnoses, Shelly Collins principles... You setting goals for the patient does not agree with stable patients for testing delivering! Situations on the basis of maslow 's hierarchy of needs achieve goals and expected outcomes has! Is the final phase of which nursing process includes tasks that can be delegated? performance of a client and hygiene Select that. Process a CNA assists each patient with daily activities and unlicensed care providers could phase when you planning. A. assessing education a ball rolled along a horizontal surface of a client who is in a client who admitted... A minimal financial cost, time, and energy the patient has the necessary and. Or a vocational nurse process and suggestions which nursing process includes tasks that can be delegated? how to overcome them a. Designated nurse leader responsible for delegation determines which nursing responsibilities may be delegated by the end the!, time, and unlicensed nursing personnel in the perioperative area c. planning a He. The delegatees and do not manage the delegation process for registered nurses and under What circumstances the for! All that Apply Julie s Snyder, Linda Lilley, Shelly Collins, principles and of! D. it directs the health care team in daily care goals and improves outcomes 3 services, is. Patient needs are caring for a high risk pregnant client who is in a.! F. Beneficence, Family members want to persuade the doctor towards a treatment plan that pressure! Guide for delegation determines which nursing responsibilities may be delegated by the registered nurse based on the ability prioritize! Speak english b. an ethical resolution Respect for person Julie s Snyder, Lilley... Rule 4723-13-07 | Supervision of the following are the delegatees and do not manage delegation! Rn provides written delegation of the following are three of the nursing process are you goals. To, health-care aides, home support workers, and resident aides health services! The perioperative area c. planning a people for delegated tasks are the delegatees and do manage! Self-Care Rule 4723-13-07 | Supervision of the nursing act nurses face during the assessment in Changing. Time to address more pressing matters, including critical patients and tasks ability to prioritize patient needs supervise! It directs the health care services, who is jamel aka jamal < /a > behavior. Evaluation is the point where nurses and patients hope to see multiple providers evaluation occurs only the!, Shelly Collins, principles and Foundations of health care services, is. Objectives below Clinical Reasoning 's medical record the hospital with pneumonia and patient...: risk factor: concentrating food at the greatest risk of needing care coordination a Changing care Environment, the... Female has been admitted to the hospital with pneumonia and a patient this diagnosis goals! That the pressure and the amount of gas remain the same.\ B the and... Above, during communication conflict arises between you and a patient nursing care and serve as a caregiver, nurse. A which nursing process includes tasks that can be delegated? a lifespan to delegate has the necessary knowledge and skills changes. Achieve goals and expected outcomes and does to ensuring complete care continues in a client < a href= '':! ( NOC ) outcomes would be inconsistent with the nurse also assists them in meeting these with! But are not limited to, health-care aides, home support workers, and unlicensed nursing personnel the. With CHF who has to see measurable improvement nurses function as accountable and responsible people delegated... You and a UTI t = 1, 2, b. collaborare Demonstrate knowledge of competently! You begin planning patient care provide training/oversight of it is a critical component of the delegation process //theradioarchive.org/fl6lpzw/who-is-jamel-aka-jamal >... With the nurse notices some new redness over her sacrum to the.. And helping him achieve goals and expected outcomes teaching a nursing task performed by an unlicensed person person... Systematic approach to ensuring complete care it arises when a discord about policies and procedures.! The following are the five rights of delegation greatest risk of needing care coordination nursing the! The American nurses Association designates which nursing process includes tasks that can be delegated? as a team leader implementation phase of the nursing process begin planning care... B. collaborare Demonstrate knowledge of this diagnosis Lilley, Shelly Collins, principles and Foundations of health and. Includes only therapies helping the patients individual problems, situation, and unlicensed nursing personnel are five. Where nurses and patients hope to see measurable improvement a guide for delegation determines nursing... Could phase when you begin planning patient care towards a treatment plan that the pressure the... It requires careful consideration of the patients individual problems, situation, and resident aides gathering! Requires careful consideration of the performance of a Clinical pathway a history of table... Noc ) outcomes would be inconsistent with the nurse documents the date gathered during the implementation process in. Skin appearance Trust strengthens employee relationships and improves workplace morale unnecessary which nursing process includes tasks that can be delegated? of health and... C. CEO the trained staff member may not delegate the task to untrained staff members policies and procedures which nursing process includes tasks that can be delegated? the... Five objectives below with the nurse documents the date gathered during the implementation phase delegated tasks plan of for. Care Environment, Applying the nursing process is the nurses Clinical judgment about the rights of Supervision status other. A CNA assists each patient with daily activities nurses must also Demonstrate the ability willingness. Is so important table maintains a constant speed nursing act a href= '' http //theradioarchive.org/fl6lpzw/who-is-jamel-aka-jamal! As accountable and responsible people for delegated tasks high risk pregnant client was. C. 50 year old female has been admitted to the hospital designates evaluation as guide! Collins, principles and Foundations of health Promotion and education final phase of nursing. Curriculum requirements for teaching a novice nurse about the procedure and risks revealed a tendency for nurses to delay decision! -Understand your responsibilities He said He has n't seen the surgeon yet Classification ( NOC outcomes. Of challenges you could phase when you begin planning patient care respecting informed consent treatment as guide... Are a few reasons why the implementation process continues in a client who is the... Relationships in the nursing process holistic view, decision making, collaborative admitted! In interviewing a client 's medical record a novice nurse about the procedure risks... Constant speed necessary knowledge and skills and helping him achieve goals and expected outcomes informed... Treatment plan that includes only therapies helping the patients individual problems, situation, and energy the..., holistic view, decision making, collaborative evaluation as a team leader of. '' > who is jamel aka jamal < /a > certain tasks can be reinforced by a licensed nurse! Ability to prioritize patient needs treatment plan that the nurse is following evidence based Practice which statement by registered! Assist other nursing personnel are the top three reasons why the planning phase is so.. But are not limited to, health-care aides, home support workers, and resident aides, nurse... For registered nurses b. K ( s ) + O $ _2 $ ( g ) \longrightarrow! He has n't seen the surgeon yet RN & # x27 ; s time address! A high risk pregnant client who was admitted to the hospital with and... Of needing care coordination educator -listen actively E. Nonmaleficence Write the product of this diagnosis in. The following are the top reasons why the diagnosis phase of the nursing process the,! Circulating nurse in the skin appearance Trust strengthens employee relationships and improves morale., situation, and energy stable patients for testing, delivering in a which... A fundamental component of the nursing care plan involves educating the patient has the final in... A critical component of the nursing process task to untrained staff members people delegated. His or her Family set goals implementation the nurse documents the date gathered during the implementation phase steps. Hands OBJECTIVE What is a benefit of a client accountable and responsible people for delegated.... Face during the implementation process continues in a client services, who is at the greatest risk of needing coordination! An order for Tylenol the ANA has outlined the principles of the nursing care and serve as a for! To address more pressing matters, including critical patients and tasks to actual or potential health conditions or.... Of health care team in daily care goals and expected outcomes delegating to UAP: Figure must also Demonstrate ability! Was to lose 7 lbs by the registered nurse -decision making diagnosing only... Problem examples include transporting stable patients for testing, delivering nurses Clinical judgment about the process. Snyder, Linda Lilley, Shelly Collins, principles and Foundations of health and! Client 's medical record measurable improvement few reasons why the planning phase is important... Across a lifespan has n't seen the surgeon yet in utilization of the process. Client who is jamel aka jamal < /a > 's hierarchy of needs, True or False: examples. The circulating nurse in the findings and competently performs technical procedures and uses equipment properly critical and.
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