Podcast
Questions and Answers
A medication administered via the intranasal route delivers the drug through which of the following?
A medication administered via the intranasal route delivers the drug through which of the following?
- Conjunctival sac
- Epidermis
- Auditory canal
- Nasal mucosa (correct)
Which factor primarily influences the selection of a specific syringe and needle size for parenteral drug administration?
Which factor primarily influences the selection of a specific syringe and needle size for parenteral drug administration?
- Drug color
- Patient's age
- Medication cost
- Application route (correct)
Which of the following practices aligns with the 'Right Documentation' principle of medication administration?
Which of the following practices aligns with the 'Right Documentation' principle of medication administration?
- Omitting documentation if the patient is stable
- Signing for medication administration after another nurse
- Recording the medication details immediately after administering it (correct)
- Documenting the medication administration before administering
Which action should the healthcare provider perform immediately when a patient experiences a severe allergic reaction during IV drug administration?
Which action should the healthcare provider perform immediately when a patient experiences a severe allergic reaction during IV drug administration?
Which intervention helps minimize the risk of extravasation during IV therapy?
Which intervention helps minimize the risk of extravasation during IV therapy?
A patient prescribed an inhaled bronchodilator and inhaled corticosteroid should be educated to perform which action after each use?
A patient prescribed an inhaled bronchodilator and inhaled corticosteroid should be educated to perform which action after each use?
What is the most appropriate method to confirm placement of a nasogastric tube before administering medication?
What is the most appropriate method to confirm placement of a nasogastric tube before administering medication?
If a medication error occurs, what is the nurse's first action?
If a medication error occurs, what is the nurse's first action?
Which is the correct angle of insertion for intradermal injections?
Which is the correct angle of insertion for intradermal injections?
Before administering a medication, what action should the healthcare provider take to ensure patient safety regarding allergies?
Before administering a medication, what action should the healthcare provider take to ensure patient safety regarding allergies?
A patient with a history of dysphagia requires an oral medication. Which is the safest method of administration?
A patient with a history of dysphagia requires an oral medication. Which is the safest method of administration?
A patient is prescribed a medication that must be taken on an empty stomach. When should the healthcare provider instruct the patient to take the medication?
A patient is prescribed a medication that must be taken on an empty stomach. When should the healthcare provider instruct the patient to take the medication?
Which of the following describes the correct procedure for administering ear drops to an adult?
Which of the following describes the correct procedure for administering ear drops to an adult?
What is the primary reason for using the Z-track method when administering an intramuscular injection?
What is the primary reason for using the Z-track method when administering an intramuscular injection?
When should a multi-dose vial be discarded after the initial use?
When should a multi-dose vial be discarded after the initial use?
When receiving a verbal order from a physician, which step is most important for the nurse to take to ensure the order is correct?
When receiving a verbal order from a physician, which step is most important for the nurse to take to ensure the order is correct?
Which factor is most important to consider when choosing a site for an intramuscular injection?
Which factor is most important to consider when choosing a site for an intramuscular injection?
If phlebitis is noted at the IV site, what should the healthcare provider exclude from their plan of action?
If phlebitis is noted at the IV site, what should the healthcare provider exclude from their plan of action?
What action should the healthcare provider take if the patient reports pain during the infusion of an IV medication?
What action should the healthcare provider take if the patient reports pain during the infusion of an IV medication?
Which lab result should the healthcare provider review before administering digoxin to a patient?
Which lab result should the healthcare provider review before administering digoxin to a patient?
Which statement defines a drug’s systemic effect?
Which statement defines a drug’s systemic effect?
A patient is due for multiple ophthalmic medications at the same time. What action ensures effectiveness?
A patient is due for multiple ophthalmic medications at the same time. What action ensures effectiveness?
Which administration route can the drug action begin most quickly?
Which administration route can the drug action begin most quickly?
Why might a physician order IV fluids with electrolytes, such as sodium, potassium and magnesium?
Why might a physician order IV fluids with electrolytes, such as sodium, potassium and magnesium?
When administering a rectal suppository, the nurse should position the patient in which position?
When administering a rectal suppository, the nurse should position the patient in which position?
What is the purpose of the 'air lock' technique in subcutaneous injections?
What is the purpose of the 'air lock' technique in subcutaneous injections?
Which factor necessitates caution when blood transfusions are administered to elderly patients?
Which factor necessitates caution when blood transfusions are administered to elderly patients?
A patient receiving a blood transfusion suddenly develops urticaria and itching. What is the most appropriate first action?
A patient receiving a blood transfusion suddenly develops urticaria and itching. What is the most appropriate first action?
Within intermuscular injection, which group is better to inject using the rectus femoris muscle?
Within intermuscular injection, which group is better to inject using the rectus femoris muscle?
Which assessment finding would require stopping administration of intravenously transfused blood?
Which assessment finding would require stopping administration of intravenously transfused blood?
Which of the following statements is true regarding documentation after giving intramuscular injections?
Which of the following statements is true regarding documentation after giving intramuscular injections?
Which factor indicates the skin be cleaned before the healthcare provider insert a medicine?
Which factor indicates the skin be cleaned before the healthcare provider insert a medicine?
If a medication is required to be taken in empty stomach, advise to the patient to take medicine when?
If a medication is required to be taken in empty stomach, advise to the patient to take medicine when?
Before giving two eye drops what should be done?
Before giving two eye drops what should be done?
If you accidentally give medicine through the wrong route what should be done first, without doubt?
If you accidentally give medicine through the wrong route what should be done first, without doubt?
What should one do for safe transition as a medical staff for drugs?
What should one do for safe transition as a medical staff for drugs?
If a patient says they have allergies during drug administration, it means what principle should we follow?
If a patient says they have allergies during drug administration, it means what principle should we follow?
For insulin needle, if the medicine can’t be seen coming into the syringe what should be the resolution?
For insulin needle, if the medicine can’t be seen coming into the syringe what should be the resolution?
If blood comes into syringe after being added and before injecting, should something be done?
If blood comes into syringe after being added and before injecting, should something be done?
For long lasting drugs, or high risk giving what should be chosen for method to give?
For long lasting drugs, or high risk giving what should be chosen for method to give?
In what condition should IV way be preferred?
In what condition should IV way be preferred?
There is a patient whose blood vessel burst, what should be applied?
There is a patient whose blood vessel burst, what should be applied?
When all blood transfusion process is finished what time should it be observed?
When all blood transfusion process is finished what time should it be observed?
One has to give someone an injection but he is too nervous what can you do?
One has to give someone an injection but he is too nervous what can you do?
If injection is put, and in the skin swelling is starting what can it be?
If injection is put, and in the skin swelling is starting what can it be?
Which of the following best describes the primary function of drugs?
Which of the following best describes the primary function of drugs?
A patient needs a medication that requires quick action. What drug form will the healthcare provider choose?
A patient needs a medication that requires quick action. What drug form will the healthcare provider choose?
What is the most important consideration when storing oily or diluted medications?
What is the most important consideration when storing oily or diluted medications?
What is the primary consideration for medicine storage that have similar effects?
What is the primary consideration for medicine storage that have similar effects?
What is the significance of a red label on a medication container?
What is the significance of a red label on a medication container?
Which factor is most critical to ascertain for safe transition during medication administration from one medical staff to another?
Which factor is most critical to ascertain for safe transition during medication administration from one medical staff to another?
A healthcare provider receives a verbal order for a drug during an emergency for a patient. What actions should be taken?
A healthcare provider receives a verbal order for a drug during an emergency for a patient. What actions should be taken?
A healthcare provider has doubts of the correctness medicine order. What action should the health care provider take?
A healthcare provider has doubts of the correctness medicine order. What action should the health care provider take?
During which 'rights' should the Healthcare provider ask the patient of any known allergies?
During which 'rights' should the Healthcare provider ask the patient of any known allergies?
What is the best way to verify the 'Right Client' is provided with medication?
What is the best way to verify the 'Right Client' is provided with medication?
A nurse is preparing medication. At which of the following times should the nurse perform a triple medication check?
A nurse is preparing medication. At which of the following times should the nurse perform a triple medication check?
A healthcare provider made a mistake while preparing. What is the next action to take?
A healthcare provider made a mistake while preparing. What is the next action to take?
What is a key element to ensuring safety, with administering medications within 30 minutes of their scheduled time?
What is a key element to ensuring safety, with administering medications within 30 minutes of their scheduled time?
Which of the following is the most reliable method of providing the 'Right Documentation'?
Which of the following is the most reliable method of providing the 'Right Documentation'?
What action must be taken for a patient who refuses to take their prescribed medications?
What action must be taken for a patient who refuses to take their prescribed medications?
What is a priority step of basic principles during the application of drugs?
What is a priority step of basic principles during the application of drugs?
When preparing to administer medication, what environment is needed?
When preparing to administer medication, what environment is needed?
What time must injectable, controlled medications, remain able to use?
What time must injectable, controlled medications, remain able to use?
Which route of administering drugs allows it to enter the bloodstream directly, bypassing the digestive system?
Which route of administering drugs allows it to enter the bloodstream directly, bypassing the digestive system?
If administering a drug epidermally, what has to happen?
If administering a drug epidermally, what has to happen?
For ophthalmic medication, how should the medication be applied starting with what type first?
For ophthalmic medication, how should the medication be applied starting with what type first?
Where are, vaginal ovules are put?
Where are, vaginal ovules are put?
How is ear drops used in children?
How is ear drops used in children?
System applications are applied where?
System applications are applied where?
What is done for Sublingual drug application?
What is done for Sublingual drug application?
Why are rectal administration applied?
Why are rectal administration applied?
What does transdermal application do?
What does transdermal application do?
Two different drugs for inhalation should:
Two different drugs for inhalation should:
Sub cutan
Sub cutan
Where is it not appropriate to perform injections to?
Where is it not appropriate to perform injections to?
What must one know for intramuscular injections?
What must one know for intramuscular injections?
What best describes the nature of IV administrations?
What best describes the nature of IV administrations?
For what, do they usually ask to put isotonic or sterilizationed?
For what, do they usually ask to put isotonic or sterilizationed?
When to avoid medicines overall?
When to avoid medicines overall?
Which is the most reliable action to do intravenous injection?
Which is the most reliable action to do intravenous injection?
Before the process to use the sharp the skin has to be what?
Before the process to use the sharp the skin has to be what?
After finding that some blood is inside syringe should is what?
After finding that some blood is inside syringe should is what?
If an allergic happens during infusion of drug what should be done?
If an allergic happens during infusion of drug what should be done?
If it occurs is known, what should happen?
If it occurs is known, what should happen?
A drug is described as having a 'systemic effect'. What does this indicate about the drug's action?
A drug is described as having a 'systemic effect'. What does this indicate about the drug's action?
What consideration should guide the healthcare provider when administering ophthalmic medications with multiple ordered medications at the same time?
What consideration should guide the healthcare provider when administering ophthalmic medications with multiple ordered medications at the same time?
Which route of drug administration would typically result in the most rapid onset of action?
Which route of drug administration would typically result in the most rapid onset of action?
Why might a healthcare provider administer intravenous (IV) fluids containing electrolytes (e.g., sodium, potassium, magnesium)?
Why might a healthcare provider administer intravenous (IV) fluids containing electrolytes (e.g., sodium, potassium, magnesium)?
When administering a rectal suppository, what is the most appropriate positioning for an adult patient?
When administering a rectal suppository, what is the most appropriate positioning for an adult patient?
What is the primary purpose of employing the 'air lock' technique when administering subcutaneous injections?
What is the primary purpose of employing the 'air lock' technique when administering subcutaneous injections?
What is a key consideration when administering blood transfusions to elderly patients?
What is a key consideration when administering blood transfusions to elderly patients?
A patient receiving a blood transfusion suddenly develops urticaria (hives) and itching. What is the priority nursing action?
A patient receiving a blood transfusion suddenly develops urticaria (hives) and itching. What is the priority nursing action?
Which muscle is better to inject using the rectus femoris muscle?
Which muscle is better to inject using the rectus femoris muscle?
Which assessment would require stopping the administration of an intravenously transfused blood product?
Which assessment would require stopping the administration of an intravenously transfused blood product?
Following an intramuscular injection, what documentation is most accurate and complete?
Following an intramuscular injection, what documentation is most accurate and complete?
Which condition indicates cleaning the skin before medicine insertion?
Which condition indicates cleaning the skin before medicine insertion?
If a medication is required to be taken on an empty stomach, when advised to the patient to take medicine?
If a medication is required to be taken on an empty stomach, when advised to the patient to take medicine?
When should the nurse conduct a triple check during medication preparation?
When should the nurse conduct a triple check during medication preparation?
What action should the healthcare provider take as a priority when there is mistake during giving drugs?
What action should the healthcare provider take as a priority when there is mistake during giving drugs?
During a shift change, what information should the off-going nurse communicate to the oncoming nurse to ensure drug safety?
During a shift change, what information should the off-going nurse communicate to the oncoming nurse to ensure drug safety?
What is the significance of enquiring about allergies before administering a drug?
What is the significance of enquiring about allergies before administering a drug?
During usage a needle for insulin, if the medicine can’t be seen coming into the syringe what should be the resolution?
During usage a needle for insulin, if the medicine can’t be seen coming into the syringe what should be the resolution?
Which skin should be applied epidermally?
Which skin should be applied epidermally?
Flashcards
What are drugs?
What are drugs?
Substances that change the functions of the body when taken by a living organism.
What are 4 main drug sources?
What are 4 main drug sources?
Animal, vegetable, mineral, and synthetic.
What are the dosage forms?
What are the dosage forms?
Solid, liquid, semi-solid, and gaseous.
Factors affecting drug activity?
Factors affecting drug activity?
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What is Synergism?
What is Synergism?
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What is Additional drug interaction?
What is Additional drug interaction?
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What is Potentialization?
What is Potentialization?
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What is Antagonism drug interaction?
What is Antagonism drug interaction?
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What are the 4 basic drug metabolism stages?
What are the 4 basic drug metabolism stages?
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What are drug storage conditions?
What are drug storage conditions?
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What is a medicine cabinet?
What is a medicine cabinet?
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What should the medicine cabinet be?
What should the medicine cabinet be?
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Physician Medication Order?
Physician Medication Order?
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10 Rights of Medication Administration?
10 Rights of Medication Administration?
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How do you ensure right patient?
How do you ensure right patient?
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When should medication labels be checked?
When should medication labels be checked?
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Why preparation environment be bright?
Why preparation environment be bright?
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What checks before administering?
What checks before administering?
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How to handle narcotic drugs?
How to handle narcotic drugs?
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Local drug administration sites?
Local drug administration sites?
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Systemic drug administration sites?
Systemic drug administration sites?
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Enteral Application?
Enteral Application?
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What is Enteral?
What is Enteral?
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Sublingual and Buccal?
Sublingual and Buccal?
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Rectal?
Rectal?
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Transdermal patch (TTS)?
Transdermal patch (TTS)?
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Inhalation is?
Inhalation is?
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Intramuscular injection sites?
Intramuscular injection sites?
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What is Intramuscular
What is Intramuscular
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What is Subcutaneous?
What is Subcutaneous?
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What is Intravenous Injection?
What is Intravenous Injection?
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IV treatment complications?
IV treatment complications?
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With what you administer
With what you administer
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What is taking blood
What is taking blood
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What to check in transfer
What to check in transfer
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Study Notes
Drug Applications - Study Notes
- The aim of drug applications is to make sure one can fulfill all necessary drug practice administrations
- Objectives include understanding drug definitions, classifications, effects on the body, request/supply/storage procedures, ways of administering, and practicing.
- Contents involve description, classification, modes of action, factors affecting patients, supply/storage, physicians orders, administration ways and then drug applications (enteral and parenteral)
What are Drugs?
- Drugs come from animal, vegetable, mineral, and synthetic sources.
- Drugs' chemical changes are for diagnosis, cure, or disease prevention.
- Drugs change the body's functions when taken.
- Medicines have different forms and special contents.
- Drug administration is a core function that involves technical skills
- Medication knowledge and skills are required
Drug Classifications
- Drugs are classified into solid, liquid, gaseous and semi-solid
- Examples of solid medicines are tablets and capsules
- Examples of liquid medicines are suspensions and emulsions
- Examples of gaseous medicines are aerosols and inhalations
- Examples of semi-solid medicines are creams and suppositories
Factors Affecting Drug Activity
- Newborns and the elderly need different doses than adults
- Drug activity will vary depending on;
- Weight
- Gender
- Genetic and cultural factors
- Psychological factors
- Illnesses
- Environment
- Treatment time
- Adverse drug effects
- Individual differences
Drug Interactions
- Synergism shows more efficacy when two or more drugs are used together (e.g., tuberculosis treatment)
- Additional interaction increases the effect of drugs on the body by taking simultaneous effective drugs
- Potentialization The effect of two drugs is more than using them separately
- Antagonism reduces a drug's effect with another drug (e.g., naloxone reducing narcotics)
Drug Metabolism
- Drug metabolism in the body involves the following stages;
- Absorption
- Transport or distribution
- Change or disintegration
- Excretion or elimination
Drug Supply and Storage
- Keep drugs locked in the same, clean, closed dry and cool room.
- Tightly close bottles to prevent them evaporating and becoming moist.
- Oily or diluted medicines should be refrigerated within the expiration date.
- Keep vaccines and serums in the refrigerator.
- Expired or changed medicines should never be used
- Artificial lighting should be installed where medicine cabinets are
- Keep emergency medications in a separate compartment.
- Medications with the same effect should be kept together.
- Medicine cabinets should be large enough for all patients
- Narcotics must be in is a double-locked cabinet and given with a signature.
- A red label should be placed on poisonous drugs.
Physician Medication Orders
- For safe drug administration, physician medication orders must be written
- Drug administration without written orders is prohibited, except in emergencies
- Physician medication orders can be
- Regular requests
- Requests when necessary
- Urgent requests (single dose)
- Physician medication order parts:
- Patient's name
- Date and time
- The drug to administer
- Dose
- Route
- Frequency
- Doctor's signature
- Doctor's orders are checked by health care professionals
- Morning hours are adjusted and moved to their system of record
- For any doubt, consult a physician.
10 Rights of Drug Administration
- Separate named patients
- Rights are;
- Right Patient
- Right Medication
- Right Dosage
- Right Route
- Right Time
- Right Documentation
- Right Client Education
- Right to Refuse
- Right Assessment
- Right Evaluation
Right Patient Tips
- Check the identification bracelet
- Ask patients to state their name and date of birth
- Ensure that it matches the medication order, identification bracelet, and stated name.
- Verify allergies with chart and with the patient
Right Medication Tips
- Perform a triple check of the medication's label
- Check when retrieving, preparing, and before giving
- Always check the label with the physician's orders.
- Administer only prepared and labelled medication
Right Dosage Tips
- Check the medication concentration on the label.
- Compare prepared dosage with the order.
- Triple-check all calculations and with another nurse.
- Verify the appropriate range for medication and patient
Right Time Tips
- Date, time, and period should all be verified
- Verify the medication given has to be given that day
- Administer medications within scheduling minutes
Right Route Tips
- Verify route of administration with all routes
- Meds can only be given in the right ways
Right Documentation Tips
- Never document before administering medication.
- Document
- Medication
- Dosage
- Route
- Date and time
- Signature & credentials
- Signature of nurse checking medication
Right Client Education Tips
- Right client eduction involves the patient for meds.
- Advise;
- The med to inject
- the med to expect
- side effects of the edication.
- For patient allergies, aks about known allergies for med
Right to Refuse Tips
- The patient or any responsible part can refuse Right party must give notice.
Right Assesment Tips
- Safety and the correct dose needed
- Document any notifications given
Right Evaluation Tips
- Note effects.
- Rate the post reaction.
- Record
Best known drug application
- Ten rights needed
- Wear the right equipment
- Be informed
General Drug Applications
- The location should be prepped
- The dose should equal the patients
- Check the patients charts
- Note the effect are the drugs
Supply and Storage Drug Tips
- Have what one needs
- Use caution
- Be ware of allergic or other conditions
Accurate Drugs
- Check the strip label
- Pour slowly
- Make sure its labeled
Narcotic Drug Supply and Storage
- Kept locked
- Counted at every shift
- Wasted and signed correctly
- Syringe and needle to prep or waist
Drug Absorption Rate
- Intracardiac - 15 seconds
- Intravenous - 30-60 seconds
- Inhalation - 3 minutes
- Endotracheal - 3 minutes
- Sublingual - 3-5 minutes
- Intramuscular - 10-20 minutes
- Subcutan - 15-30 dk
- Rectal - 5-30 minutes
- Intradermal - 15-30 minutes
- Oral - 30-90 minutes
- Dermal - can change
measurements
- 1cc=1mL=10dizy=100unit=20drops
- 4-5 ML for dessert spoon
- glass water for 250
- tea glad for 100ml
- Have a local system for checks
- Have it labeled
- Check if allergic
Administration effects
- Depending on location and the administration
- Dose depending on the patient
- Route of admin
Application sites
- The application site should be free from allergies
- Know the signs and symptoms
Systemic admins
- Tablet pill forms
- Liquid for msolution
- Diluted or emulsion
- Gaseoues - inhalant
Sub Epidermal
- Location
- Know the signs and symptoms
Eye Use
- Have the inner cleaned
- Dont tonh the eye
- Can cause side effects
Intranaesal
- 45 angel
- Dose must fit
Intravaginal use
- Know signs
- Privacy is big
Ear drops
- Children pull down and back
- Kids pull up and back
- warm
App Locations
- Must be applied to all parts in the body
Enteral applications:
- Applying dug to digestive tract
- Oral common
- To use tabs or caps
Med Prep admin
- Watch are
- Check charts
Sub Application:
- Under
- 1mlmax for side effects
SC injects in any area:
- Check parts or areas
IV Injection:
- The air in the syringe to be completely removed.
- The sterility and integrity of the IV must be clear
Complications:
- It may cause allergic reactions.
- Follow the medical professional.
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