A nurse is planning care for a client who has a halo fixation device
Elevate the head of the bed 30 degrees. Numerous studies have shown that halo immobilization can provide enough stability to react to light. The device is named for the halo-like ring that circles the patient's head and is secured with pins to the skull. This article focuses on the role of the nurse in discharge planning and education for patients with halo immobilization. Use crutches with rubber tips. Which of the following statements should the nurse make? "The purpose of this device is to immobilize the cervical spine. Which nursing teaching is appropriate?, The nurse is Appropriate actions taken by a new nurse for a client with a halo fixation device include proper pin care with chlorhexidine, placement of a small pillow under the head if prescribed, and using a blow dryer on a cool setting to keep the area dry. Halo traction d. Checking discomfort level 4. A client with cervical spinal cord injury has been placed in fixed skeletal traction with halo fixation device. d. What priority care is anticipated? 1. Perform pin site care d. The extremity is immobilized using an external fixation device. Provide range of motion to the client's neck. A nurse is caring for a client in halo traction. Gently tightens the device screws if they become loose 3. Skeletal traction b. CALL THE DOCTA. The halo brace (Figure 1) has 3 parts: A metal ring (halo) secured to the head by metal pins (screws) A vest 4 metal rods that connect the halo to the vest This brochure will help you understand how the halo brace goes on and how to live with the brace at home. reflex urinary incontinence 3. Due to a lack of clear consensuses, pin site infections and protocols lack much reliable evidence. Ensure the weight with the traction is hanging b. An orthopedic surgeon or neurosurgeon applies halo-vest traction, with assistance May 29, 2024 · A client who has an injury to the cervical spine can have a halo fixation device to provide immobilization of the head and neck for a period of 8 to 12 weeks. A nurse should document in the client's plan of care a nursing diagnosis of: 1. ) Asks the client to report if the A nurse is caring for a male client who has a deep partial thickness and a full thickness burn to 45 % of the lower body, it would be a PRIORITY for the nurse to notify the provider if the client has: A _____ output of 45 ml over the past two hours A 22-year-old client with an external fixation device attached to his left thigh is unable to bear weight on his left leg. Buck's traction. Which of the following is the first priority of the nurse? a. Airborne precautions are used during wound care. Avoid sun exposure before 10 a. Applying the halo brace It takes about 1 hour to apply the halo ring and brace. Assess the pin sites for signs of infection. Encourage the client to cough and take deep breaths B. The halo fixator may be used for the definitive treatment of cervical spine trauma, preoperative reduction in the patient with spinal deformity, and adjunctive postoperative stabilization following cervical spine surgery. The halo ring is connected to a device that secures the skull to the operating table (arrow). Gardner-Wells traction Jun 26, 2024 · 13. Most people wear a halo for 6 to 12 weeks. Compared to conventional cervical orthoses, the halo brace stands out as the superior option for A halo brace is an orthotic, or support, that helps immobilize and protect the bones in the neck (cervical spine) following an injury or surgery. The ring is attached by four bars to a stiff, lightweight vest that fits around your chest. 6 days ago · A nurse is reinforcing teaching with a client who has rheumatoid arthritis (RA) about self-care. PURPOSE: A halo ring attached to a halo vest (commonly referred to as a halo) is designed to immobilize and stabilize the cervical spine. which of the following actions should the nurse take? elevate the head of the bed. Sterile field maintenance is essential during any interventions. Which of the following medications should the nurse plan to administer ? Atropine. b. After a cervical neck injury, a client is placed in a halo fixation device with a body cast. orthobullets. 13. com Mar 2, 2024 · The halo brace, also known as the halo vest immobilizer, is a device that restrains the cranium to the torso, offering the most rigid form of external immobilization for the upper cervical spine, particularly the occipitocervical and atlantoaxial junctions, for both adult and pediatric patients. expected, unexpected, or unrelated to clients fracture?, A nurse is caring for a client who has undergone an open reduction internal fixation to correct a fracture. administer diazepam for a client with delirium tremens (DTs). Which of the following statements by the client indicates understanding? (select all) A. What is the reason the nursing care plan should include turning the client every one to two hours? 1. The halo is then attached to a pulley system where After a cervical neck injury, a client is placed in a halo fixation device with a body cast. Teach the client sigs of infection and skin breakdown. A nurse is preparing to discharge a client who has a new diagnosis of chronic kidney disease ( CKD ) . Do not drive, because full range of vision is impaired with the device. A halo ring and vest may be used alone or in conjunction with surgery for the patient with an unstable cervical spine, as a result of spinal fracture or dislocation Mar 14, 2024 · Proper care for a client with a halo external fixation device by a new graduate nurse includes cleaning around the pin sites, holding the frame during logrolling, and using a blow-dryer on cool to dry the vest. Keep suction equipment at the bedside. A nurse is assessing a client who has a heart rate of 40 / min . 5 Since that time, halo vests have become the hallmark of nonoperative care. This should improve as you get used to wearing the halo. ” What is the priority nursing concept to consider in planning care for this client? Ans: Sensory perception. complete pin care for a client with a halo fixation device. It also can be used postoperatively to allow for bone healing. 2. Performing range of motion to the client's neck increases the Study with Quizlet and memorize flashcards containing terms like A nurse in the ED is planning care for a client who has a right hip fracture. The client is diaphoretic and has chest pain . Halo fixation decreases cervical motion by 30% to 96%. Bryant's traction, A nurse is assessing a client who had an external fixation device applied 2hrs ago for a fracture 6 days ago · Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with the family of a client who has stage II Alzheimer's disease (AD). A. When caring for this client, the nurse may delegate which actions to an LPN/LVN? (Select all that apply. which of the following statements should the nurse make, Nurse is caring for a client recovering from a CVA. The halo brace consists of a halo (ring), a body jacket (vest), and rigid uprights (rods). Which of the following pieces of information should the nurse include in the teaching?, A nurse is collecting data from a client with recent head trauma who has a urine output of 600 mL/hr. A client with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. Study with Quizlet and memorize flashcards containing terms like The nurse provides care for a client who was placed in a halo brace within the last 24 hours because of a spinal cord injury. Remove the weights every four hours d. and It can be really embarrassing. Highly complex, it provides gradual distraction that results in good-quality bone formation with a minimum of complications. Prevent flexion contractures of the extremities 4. Remove the vest at bedtime c. The nurse must evaluate patient and family learning needs in order to A nurse is planning discharge teaching for a client who has an external fixation device for a fracture of the lower extremity. Which of the following immobilization devices should the nurse anticipate? a. May 1, 2011 · This paper has discussed the common applications of halo traction and identified the need to advise patients in halo braces prior to discharge. Which of the following assessment findings by the nurse supports this suspicion?, a nurse enters a client's room and finds the client on the floor having a seizure. 90. Which of the following interventions should the nurse include in the plan? a. Study with Quizlet and memorize flashcards containing terms like Following a craniotomy, a client has been admitted to the neurologic intensive care unit. When caring for the client, the nurse may assign which actions to the LPN/LVN? SATA. The nurse determines that the client needs further teaching if which statement is made? 1. A nurse is planning care for a client who has a halo fixation include in the plan of. Tape a halo wrench to the client's vest. Monitor the client for an elevated temperature. A nurse is reinforcing preoperative teaching with a client who is scheduled to have hip. 3. dysrhythmias caused by disruption of the autonomic nervous system. 4. "I will report loosening of A client has sustained a fracture of the left tibia. " "Clean the pin site when any drainage is noticed. m. Jul 21, 2016 · The Ilizarov fixator is a special type of external fixation device. A nurse in the emergency department is planning care for a client who has a right hip fracture. ) a. urge urinary incontinence, A male client Feb 12, 2024 · A client with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. 5) Perform respiratory assessment. ) A A nurse in the emergency department is planning care for a client who has a right hip fracture. stress urinary incontinence 4. Which instructions should the nurse include? Select all that apply. Care of the patient with an external fixation device may appear difficult at first due to the obstacles of the device itself and the possible severity of the wound it surrounds. the client's neck. 5. 4 Jacqueline Perry, MD, and colleagues pioneered halo immobilization in the 1950s. Which of the following client findings should Halo Traction Indication & purpose. ) A. "I will drive only during the daytime. Which of the following instructions should the nurse include in the plan of care? Secure the straps firmly around the boot. Buck's traction C. For cervical injuries, not head/skull injuries. -The nurses hands become visibly soiled. Holds the frame of the device when logrolling the client 4. Use sunscreen with a low sun protection factor (SPF). Which of the following actions should indicate to the charge nurse that the nurse understands how to use the device? (Select all that apply. techniques which of the following strategies should the nurse include in the teaching. Which device would the nurse expect this client to use?, The nurse is caring for an older adult client who has pain and loss of function associated with arthritis. Shriners Children's skilled physicians use this treatment to carefully pull a child's head and spine upward, applying a slow stretch. Skeletal traction. Jul 21, 2016 · Halo-Vest Traction Management Halo-vest traction immobilizes a patient's head and neck after traumatic injury to the cervical vertebrae as well as helping to prevent further injury to the spinal cord. The nurse should determine if the client's pupils are equal and react to light, and ask the client if he has a headache. A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. " 2. -Check and tighten Allen screws 2-3 times/week (these screws connect halo to vest. B. Which of the following interventions should the nurse include? (Select all that apply. After contacting the physician, which of the following does the nurse specify as the first action in the event of shock?, A nurse provides home care instructions Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is preparing for a home visit to a patient with an external fixation device of the lower extremity. Prevent pressure ulcers 3. " Jun 29, 2024 · A nurse is reviewing a list of client care tasks with another nurse in which of the following scenarios should the nurse plan to use soap and water to perform hand hygiene. Seek medical advice if you find a skin lesion. Thicken liquids to honey consistency. Monitor skin integrity by providing pin care and assessing the skin under the halo fixation vest as appropriate. 4) Wash the client's chest and back. Therefore, many protocols and practices will vary depending on a variety of factors. The advice patients need covered two main topic areas; managing the potential problems and risks of halo traction and advising patients on ways to live with the brace in situ. " "Wear the same clothing that is Study with Quizlet and memorize flashcards containing terms like a nurse suspects that a client admitted for treatment of bacterial meningitis is experiencing increased intracranial pressure (ICP). Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client how to manage an external fixation device upon discharge. Avoid exercising joints that are swollen. Bryant's traction. Introduce self upon interacting with the client. Guess: 2. Active range-of-motion exercises of the left leg. What priority care is anticipated?, An older adult patient experiences a fracture of the lower leg and undergoes a closed reduction and placement of a fiberglass cast. what should the nurse tell this client, what should the nurse teach the client with an external fixation device, the nurses caring A client with a cervical spinal cord injury has been placed in fixed skeletal traction with a halo fixation device. The nurse suspects the client has The halo fixator may be used for the definitive treatment of cervical spine trauma, preoperative reduction in the patient with spinal deformity, and adjunctive postoperative stabilization following cervical spine surgery. "I will clean the pins more often if drainage from the pins increases. When caring for this client, the nurse may delegate which actions to an LPN/LVN? 1) Checking the client's skin for pressure from the device 2) Assessing the client's neurologic status for changes 3) Observing the halo insertion sites for signs Jun 26, 2024 · How to use the Q-tip. Relief of pain indicates the infection is eradicated. Absolute contraindications include cranial fracture, infection, and Halo traction helps slowly stretch the spine into a straighter position before a spine surgery, such as a spinal fusion. What should the nurse prepare for when planning care 1. Which of the following interventions should the nurse include in the client's plan of care? Select all that apply. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has a wrist fracture. Device that helps hold head in place during healing. Which of the following info should be included when teaching family about repositioning, Assessing an infant after a motor vehicle crash. increased intracranial pressure (ICP). Adjusting screws and using pillows under the head should be avoided unless guided by specific care protocols. Stroke outward, away from pin. Part of the management plan is the use of a device to limit movement. This device is a combination of rings and tensioned transosseous wires used primarily in limb lengthening, bone transport, and limb salvage. Stimulation of chemoreceptors and decreased lung compliance lead to an increased respiratory rate and dyspnea. Remove the device before showering. " A client with a cervical spinal cord injury has been placed in fixed skeletal traction with a halo fixation device. Metal rods connect the halo to a plastic vest worn over your chest and back. -The nurse removes the meal tray of a client who has infectious diarrhea. Cleans around the pin sites using sterile water 2. It is important that any care given to the patient with an external fixator device is individualised to that person and their injuries. Halo braces are commonly used after a neck Rationale:A halo fixation device is used to stabilize the head and neck following a cervical fracture or dislocation. Sit Up to Decrease BP. A halo brace is a metal brace that circles and attaches to your skull. A recent trend in the treatment of cervical spine injury is the use of halo immobilization to promote healing and afford earlier mobilization. Move the client up and down in bed by holding onto the halo traction device. A statement that indicates that the client's concern about body image has been resolved successfully is: 1 "I hate having everyone else do things for me. Which actions by the new nurse are appropriate? Select all that apply 1. Which intervention should the nurse include in the plan of care (select all that apply), Five days after surgical fixation of a fractured Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse is preparing a poster for a health fair booth promoting primary prevention of skin cancer. A new classification of C2 synchondrosal fractures in children has been proposed by Rusin et al. Answer: A. Place the following steps in the correct order. "I 6 days ago · Correct A. Remove the vest daily to inspect the clients skin inter A nurse is teaching the family of a client who is receiving treatment for a spinal cord injury with a halo fixation device. Jun 26, 2024 · A nurse is planning care for a client who has a mechanical fixation of the jaw following a motorcycle crash. " 4. Progressively loosen the pins in the skull Study with Quizlet and memorize flashcards containing terms like A client has carpal tunnel syndrome. " 2 "I've gotten used to the brace. (Buck's traction is a temporary immobilization device applied to a client who has a femur or hip fracture to diminish muscle spasms and immobilize the affected extremity until surgery is performed) AH 2 Disaster + Musculoskeletal ATI. ANS: A, B, E A special halo wrench should be taped to the client's vest in case of a cardiopulmonary emergency. Elevate the Study with Quizlet and memorize flashcards containing terms like A client with osteomyelitis from a compound fracture of the left tibia has an open draining wound and is admitted with possible methicillin resistant Staphylococcus aureus (MRSA) infection. Which of the following immobilization devices should the nurse anticipate in the plan of care? a. Pt is mobile. Type I fractures, described in 64% of the cases, were only treated with primary surgical fixation in two cases and with primary HF in six cases. Ask how the client is able to reposition in bed. Which of the following actions should the nurse include in the plan of care? (Select all that apply. Study with Quizlet and memorize flashcards containing terms like The nurse has provided discharge instructions to a client with an application of a halo device. The nurse should monitor and report manifestations of infection, such as fever and purulent drainage from pin sites. Log rolling every 2 hours. spinal immobilization to prevent additional injuries to the client. potential for injuries related to the client's decreased sensation. Do not use the halo device to turn or move a client. the client is upset and wants to know why she cannot just have a cast. insert an indwelling urinary catheter for a client with retention. Care for halo frame. " Abstract. "I will use a separate cotton swab for each pin. Gardner-wells traction A. Which actions by the new nurse are appropriate?, Cane info, A registered nurse is precepting a new graduate nurse on the orthopedic unit. Evaluate a. Performing range of motion to the client's neck increases the risk for injury to the client's spinal cord. Buck's traction c. Which of the following puts the client at greater risk for developing pneumonia?, a nurse is caring for a Study with Quizlet and memorize flashcards containing terms like Musculoskeletal Trauma: Identifying Need for a Referral for a Client Who Has Osteomyelitis, Spinal Cord Injury: Care of a Client who has a Halo Device, A nurse is caring for a patient who has cervical cancer and is scheduled for brachytherapy. Small pins are used to secure the halo in place. The halo is a rigid ring, closed or opened in the back, which surrounds the head and is attached by pins. Monitoring for infection 3. Study with Quizlet and memorize flashcards containing terms like The new graduate nurse provides care for a client with a halo external fixation device. The nurse should prioritize the client's safety and monitor them for any signs of complications such as loose pins, local infection, and scarring, among other 2. Select All That Apply A. Answer: 2. A halo is a circular, metal ring that surrounds the head. Jun 4, 2016 · Halo Ring and Vest Care. Halo traction. Halo traction D. Based on this information, for which intervention should the nurse plan? a. c. [6%] B. It is used to keep the bones in your cervical spine (neck) from moving. Monitoring circulatory status 2. 91. The nurse has determined that a client with a neurological disorder also has difficulty breathing. a nurse is caring for a client who has multiple fractured Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like a client who has had an open fracture of the ulna with soft tissue damage is scheduled to receive it external fixation device. The treatment works by attaching a metal ring that surrounds the head – called a halo Dec 18, 2017 · Abstract. Establish a daily routine for the client. "I will use caution because the device alters balance. Remove the vest daily to inspect the client's skin integrity. 15. Which of the following actions should the nurse take? (select all that apply. Study with Quizlet and memorize flashcards containing terms like Indications for Skull traction, Skull traction contraindicated in, How long do you wear halo vest and more. Assist the client to void every 2 hours. B) Assessing the client's neurologic status for changes. This keeps your neck and spine moving as one with your body so the spinal injury can heal. ATI Chapter 63 Musculoskeletal Trauma. Provide range of motion to. Ask the client if he has a headache. The stretching happens by attaching a halo to a pulley system. Explanation: A nurse learns in report that a client admitted with a vertebral fracture has a halo external fixation device in place. 3) Check the fit of the halo vest. Decrease the client's oral fluid intake. " C. 1) Administer prescribed analgesic as needed. (b) General anesthesia was inducted through nasal intubation while the patient was in the supine position wearing a halo vest. Oct 11, 2023 · External fixation devices come with many risks and benefits to the patient. care? A. irrigate a wound for a client with a stage III pressure ulcer. C. A nurse is reinforcing teaching with a client about how to manage an external fixation device upon discharge. Jun 5, 2024 · A halo brace is a metal brace that circles and attaches to your skull. After a review of the physician's orders, the nurse notes an order stating, "Client may shower ten (10) days after surgery. You can expect your neck and back to feel stiff or sore at first. Encourage active range of motion to A halo device is a type of external fixation device used in the management of certain types of cervical (neck) fractures. " 3. Feb 11, 2024 · A client with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this client, the nurse may delegate which actions to an LPN? (SELECT ALL THAT APPLY) A) Checking the client's skin for pressure from the device. Antibiotic therapy should continue for 3 months. Which of the following findings by the nurse indicates healing of the wound?, A nurse is planning to change an abdominal dressing for a client who has an incision with a drain. Mary Hanson. A well-structured teaching and care plan followed by a great deal of consistency on the part of all involved will go far in overcoming many of the problems. [55%] D. Assessing the client's neurologic status for changes 3. I may even miss it when it's gone. Expect paresthesia distal to the wound. 2) Assess neurological status. Ensure that there is space for one finger to fit between the vest and the Study with Quizlet and memorize flashcards containing terms like receiving treatment for a spinal cord injury with a halo fixation device. Move the bedside table away from the bedside. " B. Ensure that the client is wearing nonskid slippers. Monitor the client's pedal pulses every hour c. 27. e. C) Observing the halo a nurse is caring for a client who has been placed in halo traction to immobilize his cervical spine. When caring for this client, the nurse may assign which actions to the LPN/LVN? Select all that apply. Absolute contraindications include cranial fracture, infection, and Jun 12, 2023 · The nurse planning care for a client who has a halo fixation device should consider several precautions and interventions to reduce the risk of complications associated with the device. See full list on upload. Question: A nurse is planning care for a client who has a cervical spine injury and has a halo traction device in pl: the nurse plan to take?Loosen or tighten the screws on the device as needed for the client's comfort. 1. Halo traction reduces the risk of damaging the nerves or soft tissues that surround and support the spine during surgery. A client with a cervical spinal cord injury has been placed in fixed skeletal traction with a halo fixation device. Which of the following actions A nurse develops a list of home care instructions for a client who is wearing a halo fixation device after sustaining a cervical fracture. -The nurse empties the urinal of a client who has A client has paraplegia as a result of a motorcycle accident. which of the following factors contribute to alterations in physical mobility? low confidence, medical devices that restrict movement, fear of burdening staff, loss of dignity. Confusion, agitation, and restlessness are subtle clinical manifestations of. Passive range of motion to the right leg. Summary. Use all options. Study with Quizlet and memorize flashcards containing terms like An adolescent male with a history of spinal cord injury reports a leaking of urine at fairly regular intervals. Get a hint. 32. He asks a nurse if he can take a shower on his third postoperative day. If you see the patients neck turning what should you do. The nurse should expect which of the following findings?, A nurse is caring for a client who has a large wound that has a vacuum-assited closure device placed over it. HF failed to achieve fusion in one patient and secondary surgical fixation was necessary. Which recommendations does the nurse include on the poster? Select all that apply. dysreflexia happens when theres irritation, pain, or stimulus to nervous system below level of injury. Loosen the pins when sleeping. to keep the client from migrating toward the head of the bed while using cervical halter traction, the nurse should elevate the head of the bed. Which action by the graduate nurse requires the registered nurse to intervene? and more. D. Jun 29, 2024 · a nurse is working in a rehabilitation unit caring for a group of clients with complications of immobility. Place the client in a room near the nurses' station. External fixation is used in orthopaedics to treat complex musculoskeletal conditions. Mar 15, 2024 · The halo vest is attached by a halo ring (arrow) on the head and four struts (arrow) connected to the vest on the trunk. A nurse is caring for a patient with coccidioidomycosis who has recently migrated from Mexico. Isometric exercises of both legs. . A nurse is presenting A nurse is planning care for a client who is disoriented and at risk for falls. Feb 11, 2019 · However, the halo vest can be cumbersome and problematic especially in obese or geriatric patients. A charge nurse is observing a newly licensed nurse care for a client who has a prescription for application of an aquathermia pad to the right lower leg. airway status due to interruption of spinal innervation to the respiratory muscles. The nurse has established a goal to maintain intracranial pressure (ICP) within the normal range. Educate on home pin and vest care. There are several reasons why this prescription should be clarified: Fluid accumulation in the receptors of the individual's respiratory system triggers the coughing mechanism. Which postoperative instruction does the nurse include in this client's teaching plan? "Use pain medication as prescribed to control pain. At this time, it. The nurse is planning care for a client with moderate Alzheimer's disease (AD). The new graduate nurse provides care for a client with a halo external fixation device. Keep the client lying in a supine position. Maintain comfort 2. A nurse is preparing to administer PO medication to a client who has myasthenia gravis. Jun 29, 2024 · Study with Quizlet and memorize flashcards containing terms like The nurse is preparing for a home visit to a patient with an external fixation device of the lower extremity. Instruct the client to flex and extend the ankle twice daily b. Most are related to bladder, bowel, & skin) client is about to start using transcutaneous electrical nerve stimulation (TENS) to manage chronic pain. Which activities would be appropriate components of the care plan for this client? Select all that apply. Which of the following actions should the nurse include in the plan of care? pulmonary artery. functional urinary incontinence 2. Avoid sexual activity while the vest is in place. Rationale: A halo fixation device is used to stabilize the head and neck following a cervical fracture or dislocation. " Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a severe gangrenous infection of the right lower extremity. [8%] C. Halo braces are commonly used after a neck fracture or Jun 5, 2024 · Care. The nurse should plan preoperative teaching based on the possibility of which of the following amputation procedures?, A nurse is caring for a client who has a T-4 spinal cord injury. Wear for anywhere from several weeks to 3-4 months. The devices are held in place by pins and wires, and the sites where these enter the skin are called pin sites. External fixator devices disrupt patients’ activities of daily living and often have a negative effect on their psychosocial wellbeing. Rationale:The nurse should monitor skin integrity under Question. Which of the following immobilization devices should the nurse anticipate in the plan of care? A. Findings A nurse is planning care for a newly admitted client who has skeletal traction for a fractured femur. Checking the client's skin for pressure from the device 2. What should the nurse do? Select all that apply. "I will use a straw for drinking. Study with Quizlet and memorize flashcards containing terms like 1. 33. ) 1. Validating proper mobility, An older adult patient experiences a fracture of the lower leg bladder distention (autonomic dysreflexia can occur w/ spinal cord injury at/above T-6 level. Study with Quizlet and memorize flashcards containing terms like A nurse developing a nursing care plan for a client with abruptio placentae includes initial nursing measures to be implemented in the event of the development of shock. Loosen connections on the vest to observe the skin. [32%] and more. Assess the chest and back for skin breakdown. Skeletal traction B. Improve venous circulation in the lower extremities a nurse is planning care for a client who has a halo fixation device. Pins screwed into the skin above your eyebrows keep the halo in place. lwrcqffzaeophqsdvzte