The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply.

Avoid or reduce painful procedures.

Avoid or reduce physical distress.

Minimize parent-child interactions.

Provide child-centered care.

Minimize child control.

Use core primary nursing.

Answer and Explanation

Correct Answer : A,B,D,F

A. Avoid or reduce painful procedures: Atraumatic care focuses on minimizing or eliminating pain whenever possible through comfort measures, distraction techniques, and appropriate pain management. This helps decrease fear and anxiety in children during medical procedures.

B. Avoid or reduce physical distress: Preventing physical stress such as discomfort, fatigue, or temperature extremes supports the child’s sense of safety and comfort. This approach helps reduce physiological and emotional trauma during hospitalization.

C. Minimize parent-child interactions: This is contrary to atraumatic care principles. Parental presence provides comfort and emotional security for the child. Family-centered involvement enhances coping and promotes healing.

D. Provide child-centered care: Atraumatic care emphasizes care that respects the child’s developmental level, preferences, and emotional needs. This individualized approach promotes trust, reduces anxiety, and fosters cooperation.

E. Minimize child control: Atraumatic care encourages giving the child as much control as appropriate, such as allowing choices when possible. Limiting control increases fear and feelings of helplessness.

F. Use core primary nursing: Consistent caregivers foster a sense of security and continuity, reducing stress and promoting therapeutic relationships. This supports the child’s emotional well-being and stability during hospitalization.

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Correct Answer is B

Explanation

A. Electrocauterization: This procedure uses electric current to destroy tissue and is not a standard treatment for fibroids. It may cause uterine scarring, which can impair fertility and is therefore not appropriate for clients wishing to conceive.

B. Myomectomy: Myomectomy is the surgical removal of uterine fibroids while preserving the uterus, making it the preferred option for women who still desire children. It relieves symptoms such as pain and heavy bleeding while maintaining reproductive potential.

C. Dilation and curettage (D&C): A D&C involves scraping the uterine lining to control bleeding or obtain tissue samples. It does not remove fibroids located in the uterine wall and provides only temporary symptom relief without addressing the root cause.

D. Laparoscopy: Laparoscopy is a minimally invasive surgical technique that can be used for various procedures, including a myomectomy. However, by itself, laparoscopy is a diagnostic or operative method—not the specific procedure for removing fibroids while preserving fertility.

A. genital warts B. genital herpes C. syphilis D. chlamydia

Correct Answer is A

Explanation

A. Genital warts: Genital warts are caused by the human papillomavirus (HPV), particularly types 16 and 18, which are strongly associated with the development of cervical cancer. Persistent HPV infection leads to cellular changes in the cervix, making regular Pap smears and HPV vaccination essential preventive measures.

B. Genital herpes: Herpes simplex virus type 2 (HSV-2) causes painful vesicular lesions but is not linked to cervical cancer. Although recurrent herpes infections can cause discomfort and emotional distress, they do not cause malignant transformation of cervical cells.

C. Syphilis: Caused by Treponema pallidum, syphilis can lead to systemic complications affecting multiple organs if untreated. However, it is not associated with cervical cancer risk, as it does not cause persistent cellular damage to the cervix.

D. Chlamydia: Chlamydia trachomatis infection can lead to pelvic inflammatory disease and infertility but does not directly cause cervical cancer. Its link to cancer is indirect, mainly through chronic inflammation, but HPV remains the primary viral cause of cervical malignancy.

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The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The surgeon is recommending surgery to remove the fibroids from a client's uterus; however, the client and her husband still desire children. The nurse would most likely provide information on which procedure that will help the client preserve her fertility?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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