What Interventions Will the Nurse Include in the Plan of Care

question 6

Multiple Choice

What interventions will the nurse include in the plan of care for a patient with a newly applied halo device and vest? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Select all that apply.

• A)Assess motor and sensory function every shift.
• B)Have the patient hold onto the halo struts during turns and repositioning.
• C)Keep the pins and traction bars slightly loose to prevent pressure ulcers.
• D)Tape a halo vest wrench to the front of the vest.
• E)Use a moist cloth to clean the skin under the vest.

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