ATI ENGAGE
PEDIATRICS RN
Neuromuscular and
Musculoskeletal
System Assessment
, A nurse is caring for a child in a leg cast.
Complete the following sentence by using the lists of options. - CORRECT ANSWERS-
When analyzing cues, the nurse should determine that the child is most likely
experiencing compartment syndrome as evidenced by the increased pain, tingling in the
affected extremity with the cast, tachycardia, and hypovolemia. Compartment syndrome
presents with increased pain, cold/pale distal extremity, paresthesia (tingling),
pulselessness, and paralysis (numbness). The likely cause of this syndrome could be
the recent casting of the fractured extremity, which restricts the leg and its ability to
swell. If left untreated, this could cause irreparable damage, amputation, and/or death.
Which of the following provider orders should the nurse anticipate for this client? -
CORRECT ANSWERS-When generating solutions, the nurse should recognize that this
client is experiencing osteomyelitis and should anticipate that the provider will order a
bone scan, intravenous antibiotics, and a referral for physical therapy. The diagnosis of
osteomyelitis can be confirmed through a bone scan, requires several weeks of
treatment with IV antibiotics, and physical therapy to maintain mobility of the affected
extremity.
A nurse is teaching the parent of a child who has been diagnosed with Legg-Calve-
Perthes disease. Which of the following statements should the nurse make? -
CORRECT ANSWERS-"Death of bone tissue causes the bone in the hip joint to change
shape."
A nurse is teaching the parents of a newborn who is receiving treatment for torticollis.
Which of the following statements should the nurse make? (Select all that apply.) -
CORRECT ANSWERS-"Newborns who are born with torticollis should also be checked
for hip dysplasia"
"Newborns who have torticollis are at risk for plagiocephaly"
"Tummy time will be prescribed to help alleviate torticollis"
A nurse is evaluating an infant client who has been treated for developmental dysplasia
of the hip with a Pavlik harness. Which of the following complications should the nurse
monitor the client for? - CORRECT ANSWERS-Necrosis of the femoral head
A nurse is creating a plan of care for a pediatric client who has a spinal curvature to
wear a brace. Which of the following instructions should the nurse add to the care plan?
(Select all that apply.) - CORRECT ANSWERS-The fit of the brace should be monitored
and replaced as the child grows
The child and parents should be educated about how long to use the orthotic
Moisture should be controlled with powder or a cotton undershirt
PEDIATRICS RN
Neuromuscular and
Musculoskeletal
System Assessment
, A nurse is caring for a child in a leg cast.
Complete the following sentence by using the lists of options. - CORRECT ANSWERS-
When analyzing cues, the nurse should determine that the child is most likely
experiencing compartment syndrome as evidenced by the increased pain, tingling in the
affected extremity with the cast, tachycardia, and hypovolemia. Compartment syndrome
presents with increased pain, cold/pale distal extremity, paresthesia (tingling),
pulselessness, and paralysis (numbness). The likely cause of this syndrome could be
the recent casting of the fractured extremity, which restricts the leg and its ability to
swell. If left untreated, this could cause irreparable damage, amputation, and/or death.
Which of the following provider orders should the nurse anticipate for this client? -
CORRECT ANSWERS-When generating solutions, the nurse should recognize that this
client is experiencing osteomyelitis and should anticipate that the provider will order a
bone scan, intravenous antibiotics, and a referral for physical therapy. The diagnosis of
osteomyelitis can be confirmed through a bone scan, requires several weeks of
treatment with IV antibiotics, and physical therapy to maintain mobility of the affected
extremity.
A nurse is teaching the parent of a child who has been diagnosed with Legg-Calve-
Perthes disease. Which of the following statements should the nurse make? -
CORRECT ANSWERS-"Death of bone tissue causes the bone in the hip joint to change
shape."
A nurse is teaching the parents of a newborn who is receiving treatment for torticollis.
Which of the following statements should the nurse make? (Select all that apply.) -
CORRECT ANSWERS-"Newborns who are born with torticollis should also be checked
for hip dysplasia"
"Newborns who have torticollis are at risk for plagiocephaly"
"Tummy time will be prescribed to help alleviate torticollis"
A nurse is evaluating an infant client who has been treated for developmental dysplasia
of the hip with a Pavlik harness. Which of the following complications should the nurse
monitor the client for? - CORRECT ANSWERS-Necrosis of the femoral head
A nurse is creating a plan of care for a pediatric client who has a spinal curvature to
wear a brace. Which of the following instructions should the nurse add to the care plan?
(Select all that apply.) - CORRECT ANSWERS-The fit of the brace should be monitored
and replaced as the child grows
The child and parents should be educated about how long to use the orthotic
Moisture should be controlled with powder or a cotton undershirt
