A client with a C4 spinal cord injury has been placed in traction with cervical tongs. Nursing care should include:

Releasing the traction for five minutes each shiftLoosening the pins if the client complains of headacheElevating the head of the bed 90° Performing sterile pin care as ordered

Explanation.

Nursing care of the client with cervical tongs includes performance of sterile pin care and assessment of the site. Answers A B and C alter the traction and could result in serious injury or death of the client; therefore they are incorrect.