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
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Positive reinforcement, such as giving stickers for sitting on the potty, is an effective way to encourage toilet training in toddlers, especially those with cognitive impairments.
B. Playing a favorite song can help with the process but is not as effective as a structured reinforcement like rewarding the child for participating in the activity.
C. Teaching multiple steps at once can be overwhelming for a toddler with cognitive impairments. It is better to break the task into simple, manageable steps.
D. Scolding the child for accidents can cause shame and hinder progress. Positive reinforcement is more effective than punishment.
Correct Answer is C
Explanation
A. Abdominal pain rated 4 is moderate and should be managed but is not as immediately critical as hypotension.
B. A respiratory rate of 20/min is within normal limits for an adolescent and is not a priority finding.
C. Low blood pressure (hypotension) following blunt abdominal trauma is a concern for internal bleeding or hemorrhage. This is the priority finding and requires immediate intervention.
D. A heart rate of 72/min is normal and does not indicate immediate concern.
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