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A nurse who is striving to provide atraumatic care to a hospitalized 6-year-old client should include which action(s) in the plan of care? Select all that apply.

A. Perform nursing assessments outside of the play area.

B. Apply EMLA cream before administering intramuscular injections.

C. Explain a procedure using the child's favorite toy.

Note: The options that are not recommended for atraumatic care have been omitted.

Answer :

Atraumatic care for a hospitalized 6-year-old should include applying EMLA cream before injections and explaining procedures with the child's favorite toy to reduce stress. Inserting an IV in the child's room and requesting parents' absence could have negative effects. Therefore, the correct option is c and e.

A nurse striving to provide atraumatic care to a hospitalized 6-year-old client should include certain actions in their plan of care that minimize psychological and physical distress. Appropriate actions include:

  • Applying EMLA cream before administering an intramuscular injection to reduce pain and discomfort, and therefore providing more compassionate care.
  • Explaining a procedure using the child's favorite toy can help the child understand the procedure in a non-threatening and familiar context.

Some actions, such as performing assessments away from play areas and avoiding phrases that might scare the child, are also in line with atraumatic care principles, although they were not listed as answer options. Inserting an IV catheter in the child's room might be debated as it can associate negative experiences with their own space, and asking the parents to leave can be counterproductive as their presence often provides comfort and reassurance to the child.

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