A nurse is reinforcing teaching with a client regarding application of antiembolic stockings. Which of the following statements by the client indicates an understanding of the teaching?

Choice A rationale

Loosening the screws while cleaning the pin sites is not recommended. The screws are tightened to a specific pressure to ensure the halo vest is secure and provides the necessary immobilization.

Choice B rationale

The nurse should also provide education regarding changing positions at least every 2 hours to reduce pressure injuries.

Choice C rationale

Halo-vests are managed and monitored during spinal outpatient clinics and can be removed during this clinic appointment.

Choice D rationale

The halo ring should never be used to lift or reposition the client because it is directly attached to the skull. Pulling on the ring could cause serious injury or dislocation.

Choice A rationale

Without specific patient data, it’s challenging to provide a detailed rationale.

However, initiating seizure precautions could be necessary if the patient’s medical record indicates a history of seizures or a condition that increases the risk of seizures.

Choice B rationale

Assisting the patient to the bathroom is a routine nursing intervention and would not typically be determined based on a review of the patient’s medical record.

Choice C rationale

Keeping the patient’s head in a mid position would depend on the patient’s condition and would not typically be determined based on a review of the patient’s medical record.

Choice D rationale

Decreasing oxygen to 1.5 L/min via nasal cannula would depend on the patient’s oxygen saturation levels and overall respiratory status.