ATI RN
RN ATI Pediatric Nursing 2023 with NGN Questions
Extract:
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Question 1 of 5
A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture. Which of the following actions should the nurse take?
Correct Answer: B
Rationale: The correct answer is B: Reposition the client using a turning sheet. Repositioning the client using a turning sheet helps prevent skin breakdown and pressure ulcers, which are common risks associated with prolonged immobilization in a halo vest. Turning the client also promotes circulation and respiratory function.
Choice A is incorrect because tightening the screws on the halo device should be done by a healthcare provider as per specific instructions, not by the nurse.
Choice C is incorrect as encouraging flexion and extension of the neck can destabilize the cervical spine and interfere with the healing process.
Choice D is incorrect because assessing the pin sites for infection should be done daily, not every other day, to promptly detect and treat any signs of infection.
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Question 2 of 5
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Question 5 of 5
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