A client is returning from the operating room with cervical tongs and a halo vest for a cervical spine injury. The nurse plans to promote respiratory function and skin integrity by:
1. turning the client every 4 hours.
2. getting an order for a kinetic bed.
3. turning the client using the halo ring.
4. Inspecting the pins for looseness.
Answer: 2
1. The client with a halo is turned every 2 hours.
2. A kinetic bed provides side-to-side continuous rotation to promote respiration, prevent pneumonia, and maintain skin integrity.
3. The client is never turned using the halo ring, as the spine could sustain further damage.
4. Inspecting the pins for looseness is a safety issue.
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ANS: