Difficulty: Medium
Average Score: 71%
Simulated
The nurse is developing a plan of care for a patient who has a halo vest immobilizer (halo brace) following a cervical spine fracture. Which of the following should the nurse include in the patient's plan of care?
Correct answer
A, D, E
Rationale
Pin care prevents infection, reporting loose pins ensures stability, and straws aid safe drinking. Neck exercises are contraindicated as they risk spinal injury, and taping the wrench is standard but not always required unless specified.