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A nurse encounters a family who experienced the death of their adult child last year. The parents are talking about the upcoming anniversary of their child's death. The nurse spends time with them discussing their child's life and death. Which nursing principle does the nurse's action best demonstrate?

A.

Grief evaluation.

B.

Pain-management technique.

C.

Palliative care.

D.

Facilitation of normal mourning.

Answer and Explanation

The Correct Answer is D

A. Grief evaluation refers to assessing the grief process rather than actively engaging in supportive dialogue, which is not the primary focus of the nurse's action.  

 

B. Pain-management techniques would not apply directly to this context, as the discussion centers on emotional support rather than physical pain.  

 

C. Palliative care encompasses a broader approach to managing patients with serious illnesses but does not specifically address the emotional support provided in this situation.  

 

D. The nurse's action of discussing the child's life and death helps the parents express their grief and memories, thereby facilitating normal mourning, making this the most appropriate principle demonstrated.


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Correct Answer is D

Explanation

A. Vision is not commonly affected by vancomycin, so it is not a priority to assess.

B. Heart tones are not directly impacted by vancomycin and do not require immediate monitoring unless there are specific cardiovascular concerns.

C. Bowel sounds are not directly influenced by vancomycin and do not need to be prioritized in this case.

D. Vancomycin is known to be ototoxic, especially in high doses or with prolonged use, so monitoring for signs of hearing loss or tinnitus is essential to prevent potential irreversible damage.

Correct Answer is D

Explanation

A. The superior vena cava is responsible for returning deoxygenated blood from the upper body to the heart and is not directly involved in myocardial ischemia.

B. The carotid artery supplies blood to the brain and is not the primary focus in the context of myocardial infarction.

C. The pulmonary artery carries deoxygenated blood from the heart to the lungs and is not involved in coronary circulation.

D. The coronary arteries supply blood to the heart muscle itself. Ischemia during a myocardial infarction occurs when these arteries are blocked or narrowed, leading to a lack of blood flow and oxygen to the heart tissue.

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