A nurse is providing postoperative teaching to an older adult patient who has undergone a transurethral resection of the prostate.
Which of the following statements should be included in 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

Scheduled times for dressing changes are not typically included in transfer documentation. This information is usually part of the patient’s daily care plan and can be communicated to the receiving unit as needed.

Choice B rationale

The primary health problem is crucial information to include in the transfer documentation. It provides the receiving unit with a clear understanding of the patient’s main health issue and the reason for their transfer.

Choice C rationale

Admission vital signs from 1 week ago are not typically included in transfer documentation. The most recent vital signs are more relevant and provide a better indication of the patient’s current health status.

Choice D rationale

Current medication prescriptions are essential to include in the transfer documentation. This information ensures continuity of care and prevents medication errors.

Choice E rationale

The number of family members who have visited is not typically included in transfer documentation. This information is not directly related to the patient’s health status or care needs.