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 A

Explanation

A. Forceful vomiting in a child with a concussion could indicate increased intracranial pressure (ICP), which is a medical emergency. Vomiting is a common symptom of ICP, and prompt assessment is necessary to determine the severity of the concussion and prevent further complications.

B. Pain following halo traction is expected, and a pain score of 6 is moderate. The pain can be managed with appropriate interventions, and it does not indicate an immediate life-threatening situation.

C. Brown-colored urine in acute glomerulonephritis is concerning for hematuria, but it typically develops over several days and is not an acute emergency.

D. A headache in a patient with infective endocarditis could indicate a potential complication such as embolism or increased intracranial pressure, but it is not as immediately life-threatening as the signs of a concussion.

A. Provides a detailed description of how the burns occurred B. Denies discomfort during assessment of injuries C. Describes strong relationships with peers D. Expresses a reluctance to leave home

Correct Answer is B

Explanation

A. Providing a detailed description of how burns occurred may suggest a plausible explanation, but it does not necessarily indicate abuse.

B. Denying discomfort despite the presence of burns may suggest emotional detachment or an attempt to conceal the severity of the injuries, which can be indicative of abuse.

C. Describing strong relationships with peers is a typical and healthy sign of social development and does not indicate abuse.

D. Reluctance to leave home may suggest anxiety or attachment to family, but it is not necessarily indicative of abuse.

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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?

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