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ATI Proctored Med Surg Focused Review_ complete solution

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ATI Proctored Med Surg Focused Review Safety & Infection Control: Care of client with Halo device for spinal injury: • Clients who have cervical fractures may be placed in a halo fixation device o r cervical tongs. • The ...

ATI Proctored Med Surg Focused Review Safety & Infection Control: Care of client with Halo device for spinal injury: • Clients who have cervical fractures may be placed in a halo fixation device o r cervical tongs. • The purpose is to provide traction and/or immobilize the spinal column. • Screws are placed through a halo-type bar that encircles the head into the outer table of the bone of the skull. This halo is attached to rods that are secured to a vest worn by the client. Ensure that the wrench to release the rods is attached to the vest when using halo traction in the event CPR is necessary. • Maintain body alignment and ensure cervical tong weights hang freely. • Monitor skin integrity by providing pin care and assessing the skin under the halo fixation vest as appropriate. • Do not use the halo device to turn or move a client. • If the client goes home with a halo fixation device on, provide instruction on pin and vest care. • Teach the client signs of infection and skin breakdown. Basic Care & Comfort: Fractures & Immobilization devices: Maintaining proper traction: Types of Immobilization Devices: • Casts • Splints/immobilizers • Traction • External fixation • Internal fixation *Traction uses a pulling force to promote and maintain alignment of the injured area. Goals of traction include: • Prevent soft tissue injury. • Realign of bone fragments. • Decrease muscle spasms and pain. • Correct or prevent further deformities. *Traction prescriptions should include the type of traction, amount of weight, and whether traction can be removed for nursing care. Classification of Traction: Straight or running: The counter traction is provided by the client’s body by applying a pulling force in a straight line. *Movement of the client’s body can alter the traction provided. Balanced suspension: The counter traction is produced by devices such as slings or splints to support the fractured extremity while pulling with ropes and weights. *The client’s body can be moved without altering the traction. Types of Traction:

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