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 B

Explanation

A. The vital signs in option A are within acceptable ranges for a 2-year-old and do not require urgent intervention.

B. The low blood pressure (79/40 mm Hg) and elevated heart rate (135/min) indicate possible shock or significant dehydration, both of which require immediate intervention.

C. The vital signs in option C are slightly low but are not immediately concerning. The blood pressure is within an acceptable range for a child of this age.

D. The vital signs in option D are stable, with no immediate concerns requiring urgent intervention.

A. Tetralogy of Fallot B. Patent ductus arteriosus C. Coarctation of the aorta D. Tricuspid atresia

Correct Answer is B

Explanation

A. Tetralogy of Fallot involves decreased pulmonary blood flow due to a combination of defects, including pulmonary stenosis.

B. Patent ductus arteriosus (PDA) causes increased pulmonary blood flow due to the abnormal persistence of the ductus arteriosus, leading to a left-to-right shunt and increased blood flow to the lungs.

C. Coarctation of the aorta causes obstructed blood flow, not increased pulmonary blood flow.

D. Tricuspid atresia results in decreased pulmonary blood flow as well due to the lack of a functional tricuspid valve.

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Which intervention would the nurse include when providing atraumatic care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-year-old child in an acute care setting. Which of the following vital signs require immediate notification to a primary care provider?

Correct Answer is B

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Correct Answer is B

Explanation

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