An acute care nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections. Which of the following actions by the nurse demonstrates atraumatic care?

Asking the client to look away during the injection to reduce anxiety

Using a larger needle to ensure accurate insulin delivery

Administering the insulin injection quickly to minimize discomfort

Explaining the procedure in simple terms to the client before administering the insulin

Answer and Explanation

The Correct Answer is D

A. Asking the client to look away may reduce anxiety for some, but it does not minimize discomfort or promote understanding.

B. Using a larger needle would likely increase discomfort and is not consistent with atraumatic care, which aims to minimize pain.

C. Administering the injection quickly might reduce discomfort but does not address the child’s emotional needs or ensure proper understanding of the procedure.

D. Explaining the procedure in simple terms helps the child understand what will happen, reducing fear and promoting cooperation. This is an important aspect of atraumatic care.

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Correct Answer is C

Explanation

A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.

B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.

C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.

D. Pancreatic enzymes should be administered with meals, not two hours after.

A. Decreased attention span B. Hyperactivity C. Tachycardia D. Hypotension

Correct Answer is A

Explanation

A. Decreased attention span is a common manifestation of increased intracranial pressure, as pressure on the brain can affect cognitive function.

B. Hyperactivity is not typically associated with increased intracranial pressure. It would be more common for the child to exhibit lethargy or irritability.

C. Tachycardia is not a primary symptom of increased intracranial pressure. Typically, bradycardia (slow heart rate) is seen in cases of severe intracranial pressure.

D. Hypotension is not usually associated with increased intracranial pressure. In fact, increased intracranial pressure often leads to elevated blood pressure and a widening pulse pressure.

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An acute care nurse is caring for a pediatric client diagnosed with diabetes mellitus who receives insulin injections. Which of the following actions by the nurse demonstrates atraumatic care?

Nursing Test Bank

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