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 B

Explanation

A. Tetralogy of Fallot involves decreased pulmonary blood flow due to a combination of defects, including pulmonary stenosis.

B. Patent ductus arteriosus (PDA) causes increased pulmonary blood flow due to the abnormal persistence of the ductus arteriosus, leading to a left-to-right shunt and increased blood flow to the lungs.

C. Coarctation of the aorta causes obstructed blood flow, not increased pulmonary blood flow.

D. Tricuspid atresia results in decreased pulmonary blood flow as well due to the lack of a functional tricuspid valve.

A. Low-protein, low-potassium diet B. Low-carbohydrate, low-protein diet C. Regular diet, no added salt D. Low-sodium, fluid-restricted

Correct Answer is D

Explanation

A. A low-protein, low-potassium diet is not indicated for acute glomerulonephritis; protein restriction is generally considered for chronic renal failure.

B. Low-carbohydrate and low-protein diets are not indicated for this condition.

C. A regular diet with no added salt is inappropriate due to the child’s edema and need for sodium and fluid restrictions.

D. A low-sodium, fluid-restricted diet is appropriate for a child with acute glomerulonephritis to manage edema and prevent fluid overload.

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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

Naxlex Comprehensive Predictor Exams

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