A 3-year-old boy with encephalitis is scheduled for a lumbar puncture. Which of the following actions by the nurse would demonstrate atraumatic care?
A) Using EMLA prior to lumbar puncture
B) Having his anxious mother stay in the waiting room
C) Explaining, using medical terms, what will happen
D) Starting the child's intravenous infusion in his room
A
Response:
Using EMLA prior to the lumbar puncture reduces the pain associated with the procedure and is an example of atraumatic care. The presence of a parent during procedures is supportive for the child and should be encouraged because it can reduce stress. The explanation of what will happen should be given on the child's level. The IV should not be started in the child's hospital room, which should remain a "safe" area.
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