A nurse is caring for a client who has a thoracic spine injury. Which of the following actions should the nurse take when turning the client?

Using a sheet (draw sheet or turning sheet) to reposition a client with a spinal injury maintains spinal alignment and prevents further neurological injury during turning. Clients with thoracic spinal injuries should be logrolled (moved as a unit) with multiple staff members. Arms should be positioned across the chest during turning, not at the sides. A pillow under the knees is for lumbar comfort — not appropriate for spinal injury repositioning. An immobilizing collar is for cervical injuries, not thoracic.