Management of Care Q 36

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The patient with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this patient the nurse may delegate which action (s) to the LPN/LVN? Select all that apply.

  

     A. Check the patient’s skin for pressure from the device.

     B. Assess the patient’s neurologic status for changes.

     C. Observe the halo insertion sites for signs of infection.

     D. Clean the halo insertion sites with hydrogen peroxide.

    

    

Correct Answer: A, C, & D

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Option A: Checking for signs of pressure within the scope of practice of the LPN/LVN.

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Option C: Observing for signs of an infection is within the scope of practice of the LPN/LVN.

Option D: The LPN/LVN also has the appropriate skills for cleaning the halo insertion sites with hydrogen peroxide.

Option B: Neurologic examination requires additional education and skill appropriate to the professional RN.

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