Which intervention would the nurse include when providing atraumatic care?

Help the child accept the loss of control associated with hospitalization.

Help the child accept pain that is connected with a treatment or procedure.

Prepare the child before any unfamiliar treatment or procedure.

Prepare the child for separation from parents during hospitalization by reviewing a video.

Answer and Explanation

The Correct Answer is C

A. Rather than helping the child accept a loss of control, atraumatic care focuses on empowering the child and promoting a sense of control through participation in care and decision-making.

B. While pain management is crucial, the goal is not to have the child "accept" pain but to minimize it through interventions like distraction, pharmacologic pain relief, and comfort measures.

C. Preparing the child for unfamiliar treatments or procedures aligns with the principles of atraumatic care, which aim to reduce fear, anxiety, and physical and emotional distress. By offering developmentally appropriate explanations, the nurse helps the child feel more in control and reduces the traumatic impact of the experience.

D. Atraumatic care emphasizes maintaining parental involvement during hospitalization whenever possible. Preparing the child for separation does not align with atraumatic care principles, as separation is a source of stress that should be minimized.

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Correct Answer is A

Explanation

A. The child should sit upright with the head tilted forward to prevent blood from flowing down the throat, which could cause choking or aspiration. Applying pressure on the nostrils for 10 minutes is an effective method for stopping most nosebleeds.

B. While ice may help constrict blood vessels, it is not the primary intervention for a nosebleed. Holding pressure is more effective.

C. Tilting the head back can cause blood to flow into the throat and potentially lead to choking or vomiting.

D. Lying the child supine increases the risk of blood flowing into the throat and airway, making it unsafe.

A. Constipation B. Bradycardia C. Pain D. Fever

Correct Answer is C

Explanation

A. Constipation is not typically associated with sickle cell crisis. While it can occur due to medications or dehydration, it is not a primary symptom of a crisis.

B. Bradycardia is not a typical manifestation of sickle cell crisis. The patient might experience tachycardia due to pain or dehydration.

C. Pain is the hallmark symptom of a sickle cell crisis. The sickle-shaped red blood cells obstruct blood flow, leading to ischemia and severe pain, often in the joints or abdomen.

D. Fever can occur if there is an infection, but pain is the most characteristic finding in a sickle cell crisis.

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Which intervention would the nurse include when providing atraumatic care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A parent calls the pediatric clinic to report that her child has a bloody nose. The nurse should give the parent which of the following instructions to stop the bleeding?

Correct Answer is A

Explanation

A pediatric client in sickle cell crisis comes to the hospital with his mother. When assessing the client, the nurse should expect to find which of the following manifestations?

Correct Answer is C

Explanation

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