A Nurse Plans Care for a Client with a Halo

question 14

Multiple Choice

A nurse plans care for a client with a halo fixator.Which interventions should the nurse include in this client's plan of care? (Select all that apply.)

• A) Tape a halo wrench to the client's vest.
• B) Assess the pin sites for signs of infection.
• C) Loosen the pins when sleeping.
• D) Decrease the client's oral fluid intake.
• E) Assess the chest and back for skin breakdown.

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