Which of the following actions by the nurse best exemplifies ...

[roselinechinyere27m]

Which of the following actions by the nurse best exemplifies atraumatic care?
 
  a. using a eutectic mixture of local anesthetics (EMLA) cream 1 hour before blood draws or the use of any needle
  b. requesting assignment to a general medical unit rather than the intensive care unit
  c. handwashing when entering the room and before leaving the room
  d. reverse isolation for the child who is immunologically compromised

Question 2

A 10-year-old child with Type I diabetes was released from the hospital on insulin. A few days later, the parents notice that the child's blood glucose levels are much lower. The physician lowers the dose of insulin.
 
  The nurse explains that this is happening because: a. The diabetes is resolving
  b. The patient has entered a honeymoon phase
  c. The child did not have diabetes
  d. The child has Type II diabetes

[CharlieArnold]

Answer to Question 1

A

Feedback
A Correct. Examples of atraumatic care include: 1) age-appropriate explanations before any and every procedure; 2) prior to surgery, helping the child to become familiar with the hospital, equipment, dress, etc.; 3) pain control; and, 4) local anesthetics prior to blood samples, IVs, and injections.
B Incorrect. Atraumatic is the avoidance of physical or psychological distress, and has nothing to do with the trauma unit, the ER, the ICU, etc.
C Incorrect. Handwashing is general hygeine, and has no impact upon lowering or eliminating the physical or psychological distress of the child patient.
D Incorrect. Reverse isolation violates the philosophy of atraumatic care.

Answer to Question 2

B
Often after initial diagnosis and treatment, a child will enter a honeymoon phase, where blood glucose levels will rebound and the patient's insulin dose can be decreased. The patient and family should be warned that this is a temporary phase and be instructed on signs and symptoms of the worsening of the disease. Diabetes cannot be cured and does not resolve.