A nurse is caring for a client who is postoperative following placement of a halo vest to manage a cervical vertebral fracture.Which of the following actions should the nurse take?

The correct answer is Choice D.Choice A rationaleEncouraging flexion and extension of the neck is contraindicated for a client with a halo vest as it can compromise the stability of the cervical spine.Choice B rationaleAssessing the pin sites for infection once every other day is not sufficient. Pin sites should be assessed at least once per shift to detect and manage any potential infections early.Choice C rationaleTightening the screws on the halo device one-quarter turn every 48 hours is not recommended. Adjustments to the halo device should only be made by a healthcare provider to ensure the integrity of the device and the stability of the cervical spine.Choice D rationaleRepositioning the client using a turning sheet is the correct action. This method helps to reposition the client safely without exerting unnecessary pressure on the cervical spine and aids in preventing pressure ulcers.