*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
1 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
Week 6 NAS
È Assigned Readings
● Ä Book Chapters: 29, 30, 31
● Æ ATI Chapters:
○ Musculoskeletal: 27, 28, 29
○ Skin: 30, 31
○ Burns: 4D1
○ Child Abuse & Neglect: 44
● ✅ Green Boxes & Case Studies — Must Review
ã Fractures (Key Concept This Week)
ú Types of Fractures:
● Bend
● Buckle
● Greenstick
● Complete
● Hinge
● Ä Found in ATI descriptions
⚖ Open vs. Closed:
● Closed = Treated with cast
● Open = Requires surgical repair ➕ cast
*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
1 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
,*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
2 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
Diagnosis:
● ; X-ray
Ì Nursing Care: Fractures
Q Initial Care:
● Assess what happened
● Monitor vital signs & pain
● Proper positioning
● ✋ Always assess neurovascular status and range of motion
9 After Casting or Surgery:
● Assess pain, neurovascular status, position
● Nutrition support C
● Medication: Tylenol or opioids x
( Cast Care & Pediatric Teaching
● Use dolls to model casting d
● Teach to elevate limb ä
● Monitor:
○ Vital signs
○ Pain levels
○ Skin condition .
*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
2 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
,*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
3 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
● For spica casts: Watch diaper area carefully
● DON’T:
○ Insert objects into cast
○ Use hair dryers
○ Get the cast wet ñ
⚠ Complications of Fractures
y Clot Risks:
● Deep Vein Thrombosis (DVT)
● Fat Embolism
● Pulmonary Embolism
Compartment Syndrome:
● î HIGH PRIORITY
● Monitor 5 P's:
○ Pain
○ Paresthesia (numbness/tingling)
○ Pulselessness
○ Paralysis
○ Pale color
● Neurovascular checks = essential:
○ Cap refill, color, pulse, pain, sensation, motion, temperature
*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
3 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
1 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
Week 6 NAS
È Assigned Readings
● Ä Book Chapters: 29, 30, 31
● Æ ATI Chapters:
○ Musculoskeletal: 27, 28, 29
○ Skin: 30, 31
○ Burns: 4D1
○ Child Abuse & Neglect: 44
● ✅ Green Boxes & Case Studies — Must Review
ã Fractures (Key Concept This Week)
ú Types of Fractures:
● Bend
● Buckle
● Greenstick
● Complete
● Hinge
● Ä Found in ATI descriptions
⚖ Open vs. Closed:
● Closed = Treated with cast
● Open = Requires surgical repair ➕ cast
*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
1 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
,*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
2 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
Diagnosis:
● ; X-ray
Ì Nursing Care: Fractures
Q Initial Care:
● Assess what happened
● Monitor vital signs & pain
● Proper positioning
● ✋ Always assess neurovascular status and range of motion
9 After Casting or Surgery:
● Assess pain, neurovascular status, position
● Nutrition support C
● Medication: Tylenol or opioids x
( Cast Care & Pediatric Teaching
● Use dolls to model casting d
● Teach to elevate limb ä
● Monitor:
○ Vital signs
○ Pain levels
○ Skin condition .
*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
2 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
,*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
3 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
● For spica casts: Watch diaper area carefully
● DON’T:
○ Insert objects into cast
○ Use hair dryers
○ Get the cast wet ñ
⚠ Complications of Fractures
y Clot Risks:
● Deep Vein Thrombosis (DVT)
● Fat Embolism
● Pulmonary Embolism
Compartment Syndrome:
● î HIGH PRIORITY
● Monitor 5 P's:
○ Pain
○ Paresthesia (numbness/tingling)
○ Pulselessness
○ Paralysis
○ Pale color
● Neurovascular checks = essential:
○ Cap refill, color, pulse, pain, sensation, motion, temperature
*&$!*#)(!*Week
, 5:42:03 @~!@#########################Page
AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*##(*0Week
3 of 2810/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)#!*&$!*#)(!*Week
6 NAS 10/16/2026, 5:42:03 AM*&!#%#&&!%%#^#^&^!#&*^&^*#!(FG*T!^&*#*((*!#&()#_)
6 NAS .pdf*&!#%#&&!%%#^#^&^!#&*^
6 NAS 10/16/20
