Difficulty: Medium
Average Score: 69%
Simulated
Passage / Scenario
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
D
Rationale
The correct answer is D: Reposition the client using a turning sheet. This action is essential to prevent pressure ulcers and maintain skin integrity in clients with a halo device. Repositioning helps redistribute pressure, improve circulation, and reduce the risk of skin breakdown. Encouraging neck flexion and extension (A) can be harmful with a halo device. Assessing pin sites (B) and tightening screws (C) should be done by qualified healthcare providers to prevent complications.