The nurse demonstrates atraumatic care for a pediatric client receiving insulin injections in this hospital for a new diagnosis of diabetes mellitus with which action? The 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?

Administering the insulin injection quickly to minimize discomfort

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

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

Using a larger needle to ensure accurate insulin delivery

Answer and Explanation

The Correct Answer is B

A. Administering the insulin injection quickly to minimize discomfort. Administering an injection quickly may reduce discomfort, but it does not address the emotional and psychological aspects of atraumatic care. The goal is to minimize fear and distress, not just physical pain.

B. Explaining the procedure in simple terms to the client before administering the insulin. Providing a clear, age-appropriate explanation helps reduce anxiety and fosters trust between the child and the nurse. Understanding what to expect allows the child to feel a sense of control, which is a key principle of atraumatic care.

C. Asking the client to look away during the injection to reduce anxiety. While looking away may help some children, it does not promote understanding or involvement in their care. Instead, explaining the procedure allows the child to develop coping strategies and feel more secure.

D. Using a larger needle to ensure accurate insulin delivery. Insulin is administered using a small-gauge needle to minimize pain. A larger needle is unnecessary and could increase discomfort, contradicting the principles of atraumatic care.

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Correct Answer is B

Explanation

A. Intrauterine device (IUD). While IUDs are highly effective, they require a pelvic exam for insertion and periodic monitoring, which may be challenging for an adolescent with motor difficulties and decreased memory. Additionally, IUDs do not protect against sexually transmitted infections (STIs).

B. Depot medroxyprogesterone acetate injection. This is the best option because the injection is given every 3 months, making it easier for an adolescent with memory and motor impairments to maintain consistent contraceptive use. It also does not require daily adherence like oral contraceptives.

C. Contraceptive patches. The patch requires weekly changes, which may be difficult for someone with decreased memory and coordination issues, leading to potential gaps in contraceptive coverage.

D. Combined oral contraceptives. Oral contraceptives require daily adherence, which may not be reliable for an adolescent with memory impairments. Missing doses can reduce effectiveness, making them a less suitable option.

A. "Palliative care should be given separately from curative care." B. "Clinicians should participate in the discussion with the family about the child's prognosis." C. "Parents who express hope of their child surviving are less accepting of palliative care." D. "Palliative care should be offered once a child has less than 6 months to live."

Correct Answer is B

Explanation

A. "Palliative care should be given separately from curative care." Palliative care can be provided alongside curative treatments to enhance comfort and quality of life. It is not limited to end-of-life care but focuses on symptom management and emotional support throughout the illness.

B. "Clinicians should participate in the discussion with the family about the child's prognosis." Open, honest, and compassionate communication between healthcare providers and families is crucial. Clinicians help families understand the prognosis, treatment options, and goals of care, ensuring informed decision-making.

C. "Parents who express hope of their child surviving are less accepting of palliative care." Parents can hope for a cure while still accepting palliative care to improve their child's comfort and quality of life. Hope and palliative care are not mutually exclusive.

D. "Palliative care should be offered once a child has less than 6 months to live." Palliative care is not limited to a specific timeframe. It can begin at diagnosis of a serious illness and continue throughout treatment, rather than being restricted to end-of-life care.

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Correct Answer is B

Explanation

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Correct Answer is B

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