The nurse is caring for a 7-year-old child who fell off an ATV sustaining a flesh wound. The child is awaiting wound debridement. What nursing action best demonstrates the concept of atraumatic care?

Allowing siblings to visit the client in the hospital

Using a doll to demonstrate an invasive procedure

Encouraging communication between the parents and nurse

Arranging the room to accommodate religious practices

Answer and Explanation

The Correct Answer is B

A. Allowing siblings to visit the client in the hospital

- Allowing siblings to visit the client in the hospital is a compassionate gesture and promotes family-centered care. However, it may not directly address the concept of atraumatic care, which focuses on minimizing physical and psychological stress related to healthcare procedures.

B. Using a doll to demonstrate an invasive procedure

- Using a doll to demonstrate an invasive procedure is an example of atraumatic care. It allows the nurse to provide preparatory information to the child in a non-threatening and understandable manner. By visually demonstrating the procedure on a doll, the child can better understand what will happen, reducing anxiety and fear.

C. Encouraging communication between the parents and nurse

- Encouraging communication between the parents and nurse is important for providing holistic care and addressing the child's needs. While effective communication is essential, it may not directly demonstrate the concept of atraumatic care unless it involves discussing how to minimize stress and anxiety during procedures.

D. Arranging the room to accommodate religious practices

- Arranging the room to accommodate religious practices is a form of patient-centered care and respects the cultural and religious beliefs of the patient and family. While important for overall comfort and respect for the patient's values, it may not directly relate to the concept of atraumatic care, which specifically focuses on reducing stress and anxiety during healthcare procedures.

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Correct Answer is A

Explanation

A. Move the child into a side-lying position:

This action is crucial during a seizure with vomiting to prevent aspiration. Placing the child on their side helps ensure that any vomit can easily exit the mouth and reduces the risk of choking or aspiration into the lungs.

B. Place a pillow under the child's head:

While providing comfort is important, it is not the priority during a seizure with vomiting. Placing a pillow under the child's head might elevate the head slightly, but it doesn't address the risk of aspiration, which is the primary concern.

C. Time the seizure:

Timing the seizure is important for documentation and to monitor the duration of the seizure. However, it is not the priority during the active phase of the seizure, especially when vomiting is occurring.

D. Remove the child's eyeglasses:

Removing the child's eyeglasses is not a priority during a seizure with vomiting. While it's important to prevent injury, particularly to the eyes, during a seizure, the immediate concern is addressing the risk of aspiration caused by vomiting.

A. "I know this can be embarrassing. I have kids myself so I understand, and it doesn't bother me." B. "Children who are hospitalized often regress. The toileting skills will return when your child is feeling better." C. "I will discuss your child's loss of bladder control with the provider." D. "Why is she wetting the bed in the hospital? She must wet the bed at home."

Correct Answer is B

Explanation

A. "I know this can be embarrassing. I have kids myself so I understand, and it doesn't bother me."

This response acknowledges the child's feelings and reassures the parents that bedwetting is a common occurrence, especially during hospitalization. It also demonstrates empathy by sharing a personal experience. However, it may not address the parents' concerns about their child's bedwetting or provide information on how to manage it.

B. "Children who are hospitalized often regress. The toileting skills will return when your child is feeling better."

This response provides an explanation for the bedwetting incident, reassuring the parents that it is a common response to hospitalization and will likely resolve once the child feels better. It offers support and normalization of the behavior, which can help alleviate the parents' concerns.

C. "I will discuss your child's loss of bladder control with the provider."

This response indicates that the nurse will address the issue with the healthcare provider, which is appropriate if further evaluation or intervention is needed. However, it may not directly address the parents' concerns or provide immediate reassurance.

D. "Why is she wetting the bed in the hospital? She must wet the bed at home."

This response may come across as accusatory or judgmental, which can increase parental anxiety or guilt. It does not provide reassurance or support to the parents and does not address the child's immediate needs.

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The nurse is caring for a 7-year-old child who fell off an ATV sustaining a flesh wound. The child is awaiting wound debridement. What nursing action best demonstrates the concept of atraumatic care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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